Caesarean section in a patient with low serum cholinesterase activity following plasmapheresis. A case report and review.

Plasmapheresis has been used in the control of rhesus incompatibility in pregnancy, resulting in a marked reduction in serum cholinesterase activity. A number of these patients will subsequently require anaesthesia and hence be at risk from suxamethonium sensitivity. A caesarean section was performed on a 26-year-old patient with this condition. The pre-operative preparation and anaesthetic management are presented and the specific problems discussed.