Volume 13
Number 5
Dec 2009
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Case Reports
CJ Verberne, HD de Boer, BG Loef

A 22-year-old woman admitted for tonsillectomy developed prolonged neuromuscular block after a single intubating dose of mivacurium. Laboratory testing showed a pseudocholinesterase phenotype of E1a E1j and a dibucaine number of 46%, associated with decreased plasma pseudocholinesterase activity. Current diagnosis and management are discussed.

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