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筒箭毒碱与新生儿

Tubocurarine and the neonate.

作者信息

Bennett E J, Ignacio A, Patel K, Grundy E M, Salem M R

出版信息

Br J Anaesth. 1976 Jul;48(7):687-9. doi: 10.1093/bja/48.7.687.

DOI:10.1093/bja/48.7.687
PMID:1016646
Abstract

Tubocurarine, given as a single bolus, may be used safely for neuromuscular blockade in the neonate. The recommended dose is 250 mug/kg at birth, increasing to 500 mug/kg at 28 days of age. This dose should be reduced in the event of prematurity, acidosis or hypothermia, or when certain antibiotics or inhalation anaesthetic agents are present in the tissues. A single dose as described has a duration of approximately 1 h and it is only after this time that satisfactory antagonism can be obtained. The potency of pancuronium when compared with tubocurarine in the study is 6:1, from birth to 28 days.

摘要

筒箭毒碱以单次推注给药时,可安全用于新生儿的神经肌肉阻滞。推荐剂量在出生时为250μg/kg,28日龄时增至500μg/kg。如果出现早产、酸中毒或体温过低,或组织中存在某些抗生素或吸入麻醉剂时,应减少该剂量。所述的单次剂量持续时间约为1小时,只有在此时间之后才能获得满意的拮抗效果。在该研究中,从出生到28天,泮库溴铵与筒箭毒碱相比的效价为6:1。

相似文献

1
Tubocurarine and the neonate.筒箭毒碱与新生儿
Br J Anaesth. 1976 Jul;48(7):687-9. doi: 10.1093/bja/48.7.687.
2
Pancuronium and the neonate.泮库溴铵与新生儿
Br J Anaesth. 1975 Jan;47(1):75-8. doi: 10.1093/bja/47.1.75.
3
Dose-response curves for pancuronium and tubocurarine: comparison of single and cumulative dose techniques.泮库溴铵和筒箭毒碱的剂量反应曲线:单次给药与累积给药技术的比较
Eur J Anaesthesiol. 1987 Mar;4(2):143-7.
4
Potentiation of neuromuscular blockade in man produced by combinations of pancuronium and metocurine or pancuronium and d-tubocurarine.泮库溴铵与美索卡林或泮库溴铵与d-筒箭毒碱联合使用对人体神经肌肉阻滞的增强作用。
Anesth Analg. 1980 Aug;59(8):604-9.
5
[Comparative study of the neuromuscular effects of 3 curare-like agents in children].[三种箭毒样药物对儿童神经肌肉作用的比较研究]
Ann Anesthesiol Fr. 1979;20(4):286-92.
6
Clinical studies involving neostigmine reversal of d-tubocurarine, gallamine, and pancuronium in man.涉及新斯的明对人体中筒箭毒碱、加拉明和泮库溴铵的逆转作用的临床研究。
Anesth Analg. 1974 Mar-Apr;53(2):268-70.
7
Vecuronium and d-tubocurarine combination: potentiation of effect.维库溴铵与筒箭毒碱联合使用:效应增强。
Anesth Analg. 1985 Jul;64(7):711-4.
8
Antagonism of pancuronium and tubocurarine blocks by edrophonium or neostigmine: a comparative study.
Eur J Anaesthesiol. 1987 Nov;4(6):411-9.
9
Fade characteristics and onset times following administration of pancuronium, tubocurarine and a mixture of both agents.泮库溴铵、筒箭毒碱及二者混合物给药后的消退特征和起效时间。
Br J Anaesth. 1985 May;57(5):488-92. doi: 10.1093/bja/57.5.488.
10
Pharmacodynamics of vecuronium, atracurium, tubocurarine and their combinations in the rat in vivo.
Eur J Anaesthesiol. 1985 Sep;2(3):279-84.

引用本文的文献

1
Clinical pharmacokinetics of muscle relaxants.肌肉松弛剂的临床药代动力学。
Clin Pharmacokinet. 1977 Sep-Oct;2(5):330-43. doi: 10.2165/00003088-197702050-00002.