Myoglobinuria following the use of succinylcholine

J Postgrad Med. 1993 Jul-Sep;39(3):157-9.

Abstract

Eight hours following tympanoplasty performed under general anaesthesia (sodium pentothal and trichloroethylene), a 30 year old male complained of muscular weakness and dark coloured urine. Urinalysis revealed myoglobin pigment. A rise in BUN (47mg%), serum creatinine (5.7mg%), creatinine phosphokinase (15,500 U/L) and CPK-MB fraction (4690 U/L) was noticed 36 hrs later. The patient developed acute renal failure, and recovered after haemodialysis. From a history of use of succinylcholine as a muscle relaxant during operation, myoglobinuria appears to be secondary to muscle damage caused by succinylcholine.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / chemically induced
  • Adult
  • Anesthesia, General*
  • Humans
  • Kidney Function Tests
  • Male
  • Myoglobinuria / chemically induced*
  • Otitis Media, Suppurative / surgery*
  • Postoperative Complications / chemically induced*
  • Succinylcholine / administration & dosage
  • Succinylcholine / adverse effects*
  • Tympanoplasty*

Substances

  • Succinylcholine