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Shvoong Home>Medicine & Health>The Neuromuscular Blocking Effects and Haemodynamic Changes of Domestic Vecuronium Summary

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The Neuromuscular Blocking Effects and Haemodynamic Changes of Domestic Vecuronium

Article Abstract by: TsingHua    

Original Author: Acta Universitatis Medicinalis Secondae Shanghai
Objective This study was to observe the neuromuscular blocking effects, histamine release and haemodynamic changes of different
doses of domestic vecuronium in the induction of general anesthesia. Methods 42 ASA Ⅰ~Ⅱ patients undergoing elective surgery were divided into 3 groups (14 patients, each). After induction of anesthesia, a single bolus of domestic vecuronium 0.1mg/kg, 0.2 mg/kg, or atracurium 0.5mg/kg was administered to the 3 groups of patients respectively. The onset time, maximum block effect and condition of intubation were recorded. Venous blood samples were obtained before and at 2 and 5 min after the administration of the relaxant for determination of plasma histamine concentrations using fluorometry. The haemodynamical changes before and 1 ~ 5min after administration of the relaxant were also recorded. Results The onset time after administration of vecuronium 0.2mg/kg was significantly shorter than that of vecuronium 0.1 mg/kg (P< 0.05). The plasma histamine concentration and haemodynamical changes before and after administration of the relaxant had no significant differences in 3 groups (P>0.05). Conclusion Domestic vecuronium does not affect plasma histamine concentration and haemodynamics. 0.1mg/kg and 0.2mg/kg domestic vecuronium can be safely used in the induction of general anesthesia with satisfactory neuromuscular blocking effects.
Published: April 25, 2001
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