oa South African Medical Journal - Continuous drip technique with an ultra-short relaxant : a report on 100 Bantu cases using succinylcholine chloride
In retrospect we feel that it would be an advantage to reduce the amount of fluid given by using 0.2 % solution of Scoline instead of 0.1 % in long cases. Further we advocate that the Scoline solution be prepared with distilled water, so as not to interfere with the patient's electrolyte balance. In our view, the advantages of the continuous drip technique are the ease of control of respiration and the fact that the full respiration at the end of the operation is not depressed by residual relaxant. Furthermore, relaxation is easily reversible in cases of laparotomy without the use of drugs such as prostigmine, should the operation be shorter than anticipated. The danger of prolonged apnoea is a disadvantage which is partly obviated by a test dose of Scoline and the fact that apnoea can possibly be terminated by large doses of nikethamide, the use of a drip in every case has obvious disadvantages.
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