All of the following statements are incorrect the treatment of prolonged suxamethonium apnea due to plasma cholinesterase deficiency (after single dose) except:
|A||Reversal with incremental doses of neostigmine|
|B||Continue anaesthesia and mechanical ventilation till recovery|
|C||Transfusion of fresh frozen plasma|
Continue anaesthesia and mechanical ventilation till recovery
Suxamethonium is metabolized by plasma cholinesterase, so block is prolonged in its deficiency. Treatment includes:
1. Continue mechanical ventilation till recovery.
2. Risk of transmission of diseases outweighs the beneficial effects of fresh frozen plasma (particularly after single dose where spontaneous recovery is very much possible). So FFP should be used when spontaneous recovery is not occurring.
3. Synthetic preparation of cholinesterase is available in some countries (but not freely).