Risk of adverse effects of SCOLINE is greater in: (A) Spinal cord injury, (B) Thoracic injury, (C) Bone injury, (D) Head injury
Answer is A. Ans. a (Spinal cord injury) (Ref. Lee Anesthesia 12th/pg. 223 & Anaesthesia by Ajay Yadav 2nd/pg. 86-88)Potassium release following use of scoline is especially seen in patients with the following, hence the risk of adverse effects greater in them:# Burns# Cerebral palsy# Duchenne's muscular dystrophy# Spinal cord trauma# Severe abdominal sepsis# Tetanus# UMN and LMN lesions# Wasting secondary to chronic arterial insufficiency.