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Funding This study was supported by the Key Clinical Support Specialty of Hongkou District Health Commission of ShanghaiGeriatric Medicine (HKLCFC202412), Shanghai Hongkou District Health Committee of Medical Scientific Research Subject Major Projects (Hongwei-2301-03) and Hospital Foundation of Shanghai Fourth Peoples Hospital Affiliated to Tongji University (sykyqd06401)

Pseudocholinesterase deficiency is most commonly diagnosed only after a patient experiences prolonged skeletal muscle blockade after a standard dose of succinylcholine or mivacurium are given (Andersson et al, 2019)

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For intramuscular injections, the vastus lateralis (outer thigh) is increasingly preferred in research settings over the traditional deltoid site due to its larger muscle mass and lower risk of nerve contact