USAGE OF FRESH FROZEN PLASMA TO REVERSE ACQUIRED PSEUDOCHOLINESTERASE DEFICIENCY – A CASE REPORT

Abstract

Pseudocholinesterase deciency is very rare to nd in routine practice , although acquired deciency may be found in some patients. 25 year old primigravida with 36 weeks of gestation with impending Eclampsia with suspected HELLP syndrome was posted for emergency LSCS i/v/o non reassuring non stress test. Patient was induced under GA with all standard ASA monitoring under Rapid sequence induction with inj. Succinyl choline 75mg . Patient did not have any signs of respiratory efforts even after 2.5 hours. We suspected acquired pseudocholinesterase deciency and decided to give a trial of reversing with fresh frozen plasma as it contains pseudocholinesterase enzyme. As soon as FFP was given patient had spontaneous respiratory efforts and was taking adequate tidal volume and hence extubated uneventfully