Management of Anesthesia for Patients with Low Levels of Serum Pseudo-Cholinesterase: A Case Report

DOI 4 References
  • MIZUTANI Hitoshi
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)
  • AONO Mayu
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)
  • WATANABE Aiko
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)
  • MIYAKE Eri
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)
  • SAEKI Shigeru
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)
  • OGAWA Setsuro
    Department of Anesthesiology, Nihon University School of Medicine (Surugadai Nihon University Hospital)

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  • 血清コリンエステラーゼ　（ＣｈＥ）　低値症例の麻酔経験

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  We report a patient with low serum levels of pseudo-cholinesterase. A seventy-four-year old female was scheduled for cholecystectomy. She had no history of surgery or anesthesia, and had been diagnosed with malignant anemia and hypertensive heart disease. Abnormally low levels of serum pseudo-cholinesterase were seen in her laboratory data. Nevertheless, the low levels of serum pseudo-cholinesterase, she did not produce any symptoms. Therefore she was not treated by her family doctor.<br>  Anesthesia was maintained by general anesthesia in conjunction with thoracic epidural anesthesia without using depolarizing muscle relaxant and local anesthetics with ester binding structure, and the surgery and anesthesia were performed without any problem.

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