Obesity Surgery

, Volume 19, Issue 4, pp 534–536 | Cite as

Succinylcholine: A Drug to Avoid in Bariatric Surgery

  • Talar Tejirian
  • Catherine E. Lewis
  • James Conner
  • Candice Jensen
  • Erik Dutson
  • Amir MehranEmail author
Case Report


Succinylcholine is a paralytic agent regularly utilized in anesthesia. There are numerous adverse effects of succinylcholine ranging from mild to fatal; one such effect is succinylcholine myalgia. We report the case of a 34-year-old woman who received succinylcholine while undergoing laparoscopic Roux-en-Y gastric bypass and later developed succinylcholine myalgia leading to a prolonged hospital stay and subsequent pneumonia. In the presence of suitable alternative paralytic agents, succinylcholine should be avoided in patients undergoing bariatric surgery. The use of a designated anesthesia team familiar with bariatric operations can help maximize peri-operative management and minimize complications.


Obstructive Sleep Apnea Gastric Bypass Succinylcholine Rocuronium Motor Neuron Disease 
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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Talar Tejirian
    • 1
  • Catherine E. Lewis
    • 1
  • James Conner
    • 1
  • Candice Jensen
    • 1
  • Erik Dutson
    • 1
  • Amir Mehran
    • 1
    • 2
    Email author
  1. 1.Department of SurgeryDavid Geffen School of Medicine, University of CaliforniaLos AngelesUSA
  2. 2.Department of SurgeryUniversity of CaliforniaLos AngelesUSA

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