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Determination of succinylcholine in plasma by high-pressure liquid chromatography with electrochemical detection N.I. Pitts, D. Deftereos, G. Mitchell British Journal of Anaesthesia Volume 85, Issue 4, Pages (October 2000) DOI: /bja/ Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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Fig 1 Reaction 1: Hydrolysis of succinylcholine (Succ) by butyrylcholinesterase (BuChE). The first step yields succinylmonocholine (SmCh) and choline. SmCh is then hydrolysed to yield choline and succinate. Reaction 2: Hydrolysis of acetylcholine and choline by acetylcholinesterase (AchE) and choline oxidase, respectively, in the Bioanalytical Systems immobilized enzyme reactor (see text for details). British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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Fig 2 Post-column enzyme reactor and analytical column sequence. The trapping column removes physostigmine so that it does not poison the enzyme reactor. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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Fig 3 Amount of choline formed from succinylcholine hydrolysis (where 100% represents the amount expected from complete hydrolysis of succinylcholine in the first reaction step). A 0.1 ml sample in 0.5 ml phosphate buffer was incubated at 37°C under the following conditions: 100 μM succinylcholine standard with 20 or 200 mU BuChE, 124 nmol succinylcholine per ml of plasma with 200 mU BuChE in heat-inactivated or fresh plasma or with 10−5 M physostigmine. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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Fig 4 Amount of choline formed from succinylmoncholine (SmCh) and succinylcholine (Succ) hydrolysis (where 100% represents the amount expected from complete hydrolysis of succinylcholine in the first reaction step). A 0.1 ml fresh plasma sample in 0.5 ml 500 mM phosphate buffer was incubated with 200 mU BuChE at 37°C with succinylmonocholine at 50 μM or succinylcholine at 129 μM or both together. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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Fig 5 Concentration of succinylcholine in plasma. Succinylcholine (10.5 mg) was added to a 500 ml pool of donor blood. Duplicate aliquots were withdrawn at intervals and the plasma was assayed for choline (see text for details). British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2000 British Journal of Anaesthesia Terms and Conditions
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