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用于确定维库溴铵效力的累积剂量和单次推注剂量技术的比较。

Comparison of cumulative and single bolus dose techniques for determining the potency of vecuronium.

作者信息

Gibson F M, Mirakhur R K, Clarke R S, Lavery G G

出版信息

Br J Anaesth. 1985 Nov;57(11):1060-2. doi: 10.1093/bja/57.11.1060.

DOI:10.1093/bja/57.11.1060
PMID:2864944
Abstract

The potency of vecuronium was determined using single bolus dose administrations of 10-50 micrograms kg-1 in 28 patients anaesthetized with thiopentone, nitrous oxide, oxygen and fentanyl. The results were compared with those previously obtained using a cumulative dose technique in a comparable group of 10 patients. The 50% and 95% blocking doses (ED50 and ED95) of vecuronium were found to be 23.1 and 39.6 micrograms kg-1, respectively. These were significantly lower than the 30.5 and 56.7 micrograms kg-1 obtained previously using the cumulative dose technique. We recommend the use of single bolus dose method of determining potency for relatively shorter-acting drugs like vecuronium.

摘要

在28例接受硫喷妥钠、氧化亚氮、氧气和芬太尼麻醉的患者中,通过单次推注10 - 50微克/千克的维库溴铵来测定其效能。将结果与之前在一组10例可比患者中使用累积剂量技术获得的结果进行比较。发现维库溴铵的50%和95%阻滞剂量(ED50和ED95)分别为23.1和39.6微克/千克。这些值显著低于之前使用累积剂量技术获得的30.5和56.7微克/千克。我们建议使用单次推注剂量法来测定像维库溴铵这样作用相对较短的药物的效能。

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Comparison of cumulative and single bolus dose techniques for determining the potency of vecuronium.用于确定维库溴铵效力的累积剂量和单次推注剂量技术的比较。
Br J Anaesth. 1985 Nov;57(11):1060-2. doi: 10.1093/bja/57.11.1060.
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引用本文的文献

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Pharmacodynamic behaviour of rocuronium in the elderly.罗库溴铵在老年人中的药效学行为。
Can J Anaesth. 1993 Feb;40(2):127-32. doi: 10.1007/BF03011309.
2
Haemodynamic effects of rocuronium during fentanyl anaesthesia: comparison with vecuronium.芬太尼麻醉期间罗库溴铵的血流动力学效应:与维库溴铵的比较。
Can J Anaesth. 1993 Aug;40(8):703-8. doi: 10.1007/BF03009764.
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Can J Anaesth. 1994 Aug;41(8):694-8. doi: 10.1007/BF03015623.
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New intravenous anaesthetics and neuromuscular blocking drugs. A review of their properties and clinical use.新型静脉麻醉药和神经肌肉阻滞药。其特性及临床应用综述。
Drugs. 1987 Jul;34(1):98-135. doi: 10.2165/00003495-198734010-00004.
5
Contribution of muscle relaxant to the haemodynamic course of high-dose fentanyl anaesthesia: a comparison of pancuronium, vecuronium and atracurium.肌肉松弛剂对大剂量芬太尼麻醉血流动力学过程的影响:潘库溴铵、维库溴铵和阿曲库铵的比较
Can Anaesth Soc J. 1986 Sep;33(5):597-605. doi: 10.1007/BF03014267.
6
Sensitivity to vecuronium in myasthenia gravis: a dose-response study.重症肌无力对维库溴铵的敏感性:一项剂量反应研究。
Can J Anaesth. 1990 Apr;37(3):301-6. doi: 10.1007/BF03005579.
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Can J Anaesth. 1991 Oct;38(7):866-9. doi: 10.1007/BF03036961.
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Can J Anaesth. 1992 Feb;39(2):139-42. doi: 10.1007/BF03008644.