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Kevin Morneault, DO., et al. – Neuromuscular blockade has the potential to be prolonged when using medications metabolized by serum pseudocholinesterase (i.e., succinylcholine or mivacurium). Patients who demonstrate an abnormal genetic variant, a decrease in concentration by seventy-five percent, or who are exposed to chemicals or medications that block or reduce the serum concentration of pseudocholinesterase will potentially experience prolonged duration of action

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