Neostigmine and edrophonium antagonism of varying intensity neuromuscular blockade induced by atracurium, pancuronium, or vecuronium.
Neostigmine and edrophonium antagonism of varying intensity neuromuscular blockade induced by atracurium, pancuronium, or vecuronium.
复制标题
新斯的明和依酚溴铵对阿曲库铵、泮库溴铵或维库溴铵诱导的不同强度的神经肌肉阻滞具有拮抗作用。
DOI：
10.1097/00000542-198606000-00006
复制
发表时间：
1986
期刊：
影响因子：
8.8
通讯作者：
Cronnelly,R
中科院分区：
文献类型：
--
作者：
Rupp,SM;McChristian,JW;Miller,RD;Taboada,JA;Cronnelly,R
To compare the time course of neostigmine and edrophonium antagonism of varying intensity neuromuscular blockade induced by atracurium, pancuronium, or vecuronium, the authors studied 98 patients anesthetized with nitrous oxide (60%) and halothane or enflurane. Neuromuscular blockade, as monitored by single stimulus-induced twitch tension (TT), was antagonized at varying degrees of spontaneous recovery (2-80% of control TT). Time to antagonism (time from injection of neostigmine or edrophonium to 90% recovery of control TT) was not different between edrophonium, 0.5 mg/kg, and neostigmine, 0.04 mg/kg, when spontaneous recovery had been allowed to occur to at least 11% of control TT prior to antagonist administration (P greater than 0.05). For profound neuromuscular blockade (TT less than or equal to 10% of control) induced by pancuronium or vecuronium, time (mean+/-SD) to antagonism with neostigmine, 0.04 mg/kg, was 7.0+/-2.2 min and 5.6+/-1.7 min, respectively, while the same for edrophonium, 0.5 mg/kg, was 20.0+/-8.0 min and 15.0+/-12.5 min, respectively (P less than 0.05). Time to antagonism of profound atracurium-induced neuromuscular blockade was 8.5+/-3.3 min for neostigmine, 0.04 mg/kg, and 9.8+/-7.0 min for edrophonium, 0.5 mg/kg,(P less than 0.05). For profound vecuronium-and pancuronium-induced neuromuscular blockade, time to antagonism by edrophonium, 1.0 mg/kg, was 4.6+/-3.0 min and 3.9+/-1.6 min respectively. The authors conclude that neostigmine, 0.04 mg/kg, antagonizes neuromuscular blockade within 12 min when TT is greater than 2% of control at time of reversal. When TT is greater than 10% of control, edrophonium, 0.5 mg/kg, produces similar time to antagonism.(ABSTRACT TRUNCATED AT 250 WORDS)
