Abstract
Prolonged apnea after general anesthesia is a disconcerting event. Ophthalmologists are aware that topical echothiophate iodide prolongs the effect of succinylcholine by reduction of plasma and red cell Cholinesterase levels.<sup>1</sup> Ellis and Esterdahl<sup>2</sup> found reduced plasma Cholinesterase levels in children given 0.06% echothiophate iodide for treatment of accommodative esotropia. Patients given echothiophate iodide are subject to postanesthesia apnea if intravenous succinylcholine is used as a neuromuscular agent.<sup>3</sup>
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