Obstetric anesthesia

Prolonged duration of action of suxamethonium in pregnant and postpartum patients: A registry study

Acta Anaesthesiol ScandPublished Registry study

Authors' conclusion

Among pregnant and postpartum patients with a history of prolonged duration of action of suxamethonium and a low BChE activity, 6% did not have a mutation in the BChE gene.

Study context

Population
Pregnant and postpartum patients with a history of prolonged duration of action of suxamethonium referred to the Danish Cholinesterase Research Unit (DCRU), March 2007–January 2023
Participants
40 participants
Outcome
Proportion of patients without a BChE gene mutation among patients with a low BChE activity

Main finding

As reported in the abstract

No BChE gene mutation among patients with low BChE activity

Proportion without a mutation among patients with low butyrylcholinesterase (BChE) activity

6%

95% CI 1%–21%

Observational data: associations, not effects.

Secondary outcomes

Mutation in the BChE gene, all included patients

Proportion with a mutation
90% (95% CI: 76%-97%)

Low BChE activity, all included patients

Proportion with a low BChE activity
94% (95% CI: 80%-99%)

Original publication

Prolonged duration of action of suxamethonium in pregnant and postpartum patients: A registry study. Acta Anaesthesiol Scand. Published 24 March 2024. doi:10.1111/aas.14413

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