Page last updated: 2024-11-04

succinylcholine and Morbid Obesity

succinylcholine has been researched along with Morbid Obesity in 12 studies

Succinylcholine: A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
succinylcholine : A quaternary ammonium ion that is the bis-choline ester of succinic acid.

Research Excerpts

ExcerptRelevanceReference
"We used published models to simulate the duration of unresponsiveness and ventilatory depression using a common induction technique with predicted rates of oxygen desaturation in various size patients and explored to what degree rapid reversal of rocuronium-induced neuromuscular blockade with sugammadex might improve the return of spontaneous ventilation in CICV situations."3.83The Myth of Rescue Reversal in "Can't Intubate, Can't Ventilate" Scenarios. ( Brewer, L; Johnson, KB; Kopman, AF; LaPierre, C; Naguib, M, 2016)
"Morbid obesity is associated with a reduction in time to desaturate during apnoea following standard pre-oxygenation and induction of anaesthesia."2.70Effectiveness of continuous positive airway pressure to enhance pre-oxygenation in morbidly obese women. ( Berthoud, MC; Cressey, DM; Reilly, CS, 2001)
"Succinylcholine is a paralytic agent regularly utilized in anesthesia."1.35Succinylcholine: a drug to avoid in bariatric surgery. ( Conner, J; Dutson, E; Jensen, C; Lewis, CE; Mehran, A; Tejirian, T, 2009)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (50.00)29.6817
2010's6 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Naguib, M1
Brewer, L1
LaPierre, C1
Kopman, AF1
Johnson, KB1
Tejirian, T1
Lewis, CE1
Conner, J1
Jensen, C1
Dutson, E1
Mehran, A1
de Almeida, MC1
Pederneiras, SG1
Chiaroni, S1
de Souza, L1
Locks, GF1
Brodsky, JB3
Lemmens, HJ2
Schreiber, JU1
Fuchs-Buder, T1
Carron, M1
Freo, U1
Ori, C1
Dewachter, P1
Mouton-Faivre, C1
Emala, CW1
Beloucif, S1
Pösö, T1
Kesek, D1
Winsö, O1
Andersson, S1
Foster, PE1
Nafiu, O1
Cressey, DM1
Berthoud, MC1
Reilly, CS1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
EPO2-A: Evaluation of Different Pre-Oxygenation Condition in Morbid Obesity: Effect of Position and Positive Pressure Ventilation During General Anesthesia Induction[NCT02590406]50 participants (Actual)Interventional2015-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Maximum Expired Fraction of Oxygen Obtained

Evaluation of the maximum expired oxygen fraction obtained in the two groups (NCT02590406)
Timeframe: After 3 minutes of pre-oxygenation

InterventionMaximum expired fraction of oxygen obtai (Mean)
Beach Chair (BC) and ZEEP0.89
Reverse Trendelenburg and NIPPV0.91

Minimum Arterial Saturation of Oxygen Obtained

Evaluation of the minimal saturation obtained after the resumption of the ventilation (NCT02590406)
Timeframe: After the end of the Non-hypoxic apnea time

Interventionpercent (Mean)
Beach Chair (BC) and ZEEP83.6
Reverse Trendelenburg and NIPPV85.3

Non Hypoxic Apnea Time

Change of Non-hypoxic apnea time in obese patient during a General Anesthesia induction, as a result of different pre-oxygenation position and ventilation mode; 1-Beach Chair and No positive pressure ventilation, 2-Reverse Trendelenburg and positive pressure ventilation and PEEP. End of measure time frame is 5 minutes after intubation (NCT02590406)
Timeframe: After a 3 minutes pre-oxygenation period

Interventionseconds (Mean)
Beach Chair (BC) and ZEEP216.7
Reverse Trendelenburg and NIPPV258.2

Time to 97% Saturation

(NCT02590406)
Timeframe: Evaluation of the time needed to the beginning of the ventilation to the moment where the saturation is 97%

Interventionseconds (Mean)
Beach Chair (BC) and ZEEP88.4
Reverse Trendelenburg and NIPPV68

Time to Expired Oxygen Fraction > 0,9

Evaluation of time needed to obtain an expired fraction of oxygen of > 0,9 in the two groups during the pre-oxygenation (NCT02590406)
Timeframe: During the pre-oxygenation period

Interventionseconds (Mean)
Beach Chair (BC) and ZEEP145.3
Reverse Trendelenburg and NIPPV85.1

Trials

3 trials available for succinylcholine and Morbid Obesity

ArticleYear
[Evaluation of tracheal intubation conditions in morbidly obese patients: a comparison of succinylcholine and rocuronium].
    Revista espanola de anestesiologia y reanimacion, 2009, Volume: 56, Issue:1

    Topics: Adult; Androstanols; Body Weight; Cough; Diaphragm; Dose-Response Relationship, Drug; Female; Humans

2009
The dose of succinylcholine in morbid obesity.
    Anesthesia and analgesia, 2006, Volume: 102, Issue:2

    Topics: Adult; Anesthesia, General; Body Mass Index; Body Weight; Double-Blind Method; Female; Gastric Bypas

2006
Effectiveness of continuous positive airway pressure to enhance pre-oxygenation in morbidly obese women.
    Anaesthesia, 2001, Volume: 56, Issue:7

    Topics: Adult; Anesthesia, General; Apnea; Blood Pressure; Body Mass Index; Female; Heart Rate; Humans; Intu

2001

Other Studies

9 other studies available for succinylcholine and Morbid Obesity

ArticleYear
The Myth of Rescue Reversal in "Can't Intubate, Can't Ventilate" Scenarios.
    Anesthesia and analgesia, 2016, Volume: 123, Issue:1

    Topics: Adult; Androstanols; Anesthesia Recovery Period; Anesthesia, General; Biomarkers; Body Mass Index; C

2016
Succinylcholine: a drug to avoid in bariatric surgery.
    Obesity surgery, 2009, Volume: 19, Issue:4

    Topics: Adult; Female; Gastric Bypass; Humans; Intubation, Intratracheal; Length of Stay; Muscular Diseases;

2009
Succinylcholine and morbid obesity: the debate continues...
    Obesity surgery, 2010, Volume: 20, Issue:1

    Topics: Bariatric Surgery; Humans; Neuromuscular Depolarizing Agents; Obesity, Morbid; Succinylcholine

2010
Succinylcholine: the dilemma with the evidence: comment on: Tejirian T, Lewis CE, Conner J et al. Succinylcholine: a drug to avoid in bariatric surgery. Obes Surg 2009; 19: 534-6.
    Obesity surgery, 2010, Volume: 20, Issue:1

    Topics: Gastric Bypass; Humans; Muscular Diseases; Neuromuscular Depolarizing Agents; Obesity, Morbid; Succi

2010
Succinylcholine in morbidly obese patients: another interesting advantage.
    Obesity surgery, 2011, Volume: 21, Issue:12

    Topics: Bariatric Surgery; Female; Gastric Bypass; Humans; Muscular Diseases; Neuromuscular Depolarizing Age

2011
Case scenario: bronchospasm during anesthetic induction.
    Anesthesiology, 2011, Volume: 114, Issue:5

    Topics: Adult; Albuterol; Anesthesia; Anesthetics, Intravenous; Anti-Inflammatory Agents; Bronchial Spasm; B

2011
Volatile rapid sequence induction in morbidly obese patients.
    European journal of anaesthesiology, 2011, Volume: 28, Issue:11

    Topics: Adolescent; Adult; Aged; Alfentanil; Anesthesia, Inhalation; Anesthetics, Inhalation; Anesthetics, I

2011
Succinylcholine and morbid obesity.
    Obesity surgery, 2003, Volume: 13, Issue:1

    Topics: Adult; Female; Humans; Intubation, Intratracheal; Male; Middle Aged; Neuromuscular Depolarizing Agen

2003
Morbid obesity: a risk factor for maternal mortality.
    International journal of obstetric anesthesia, 2007, Volume: 16, Issue:2

    Topics: Adult; Airway Obstruction; Anesthesia, Conduction; Anesthesia, Epidural; Anesthesia, General; Anesth

2007