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[NC45 - 10(10毫克溴化维库溴铵制剂)给药后气管插管的临床经验]

[Clinical experience of endotracheal intubation after administration of NC45-10 (vecuronium bromide 10 mg preparation)].

作者信息

Takahashi Y, Shiga T, Kimura H

机构信息

Department of Anesthesiology, Kameda General Hospital, Kamogawa.

出版信息

Masui. 1991 Apr;40(4):632-5.

PMID:1675701
Abstract

We studied the usefulness of the 10 mg presentation of vecuronium bromide (NC45-10) for endotracheal intubation. Subjects were ASA type I-II patients between 20-65 years of age scheduled for various kinds of surgery who consented to participate in this study. After the entrance of patients into the operating room, we set up monitors and intravenously injected a priming dosage of NC45-10, 0.015 mg.kg-1. Next, we administered thiopental 5 mg.kg-1 and injected initial dosage of either 0.065 mg.kg-1 or 0.1 mg.kg-1 of NC45-10 intravenously 5 minutes after the administration of priming dose. One minute later, we attempted endotracheal intubation. We evaluated the muscle relaxation by the reaction to endotracheal intubation and graded it by the score of 0-3. Satisfactory muscle relaxation on endotracheal intubation was obtained in 80% of the patients with no significant difference between the 2 groups of initial dosage. No side effect or cardiovascular action was observed. It is concluded that this preparation is clinically safe and useful.

摘要

我们研究了10毫克规格的溴化维库溴铵(NC45 - 10)用于气管插管的效用。研究对象为年龄在20至65岁之间、拟行各类手术且同意参与本研究的ASA I - II级患者。患者进入手术室后,我们安置好监测设备,并静脉注射首剂NC45 - 10,剂量为0.015毫克/千克。接下来,我们给予硫喷妥钠5毫克/千克,并在首剂给药5分钟后静脉注射初始剂量的NC45 - 10,剂量分别为0.065毫克/千克或0.1毫克/千克。1分钟后,我们尝试进行气管插管。我们根据气管插管反应评估肌肉松弛情况,并以0至3分进行评分。80%的患者在气管插管时获得了满意的肌肉松弛效果,两组初始剂量之间无显著差异。未观察到副作用或心血管反应。得出的结论是,该制剂临床安全且有效。

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