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泮库溴铵分剂量给药时起效加速。

Accelerated onset of pancuronium with divided doses.

作者信息

Doherty W G, Breen P J, Donati F, Bevan D R

出版信息

Can Anaesth Soc J. 1985 Jan;32(1):1-4. doi: 10.1007/BF03008530.

DOI:10.1007/BF03008530
PMID:2982471
Abstract

To determine the consequences of administering neuromuscular relaxants in divided doses, pancuronium was given either in a single dose, 0.07 mg X kg-1, or in an initial dose of 0.007 mg X kg-1 followed three minutes later with 0.063 mg X kg-1. When the drug was administered in divided dosage the onset time was reduced, the block was more intense and its duration of action was prolonged. It is suggested that such changes may be advantageous in the provision of rapid intense paralysis.

摘要

为了确定分次给予神经肌肉阻滞剂的后果,将泮库溴铵以0.07mg/kg的单次剂量给药,或以0.007mg/kg的初始剂量给药,三分钟后再给予0.063mg/kg。当药物分次给药时,起效时间缩短,阻滞作用更强,作用持续时间延长。有人认为,这些变化可能有利于提供快速强效的麻痹效果。

相似文献

1
Accelerated onset of pancuronium with divided doses.泮库溴铵分剂量给药时起效加速。
Can Anaesth Soc J. 1985 Jan;32(1):1-4. doi: 10.1007/BF03008530.
2
Attempted acceleration of the onset of action of pancuronium. Effects of divided doses in infants and children.潘库溴铵起效加速的尝试。婴儿和儿童分次给药的效果。
Br J Anaesth. 1985 Dec;57(12):1204-8. doi: 10.1093/bja/57.12.1204.
3
Differential effects of myoneural blocking drugs on neuromuscular transmission in infants.肌松药对婴儿神经肌肉传递的不同作用
Br J Anaesth. 1984 Oct;56(10):1095-9. doi: 10.1093/bja/56.10.1095.
4
[Profile of the effect of succinylcholine after pre-curarization with atracurium, vecuronium or pancuronium].[阿曲库铵、维库溴铵或泮库溴铵预箭毒化后琥珀酰胆碱的效应概况]
Anasthesiol Intensivmed Notfallmed Schmerzther. 1996 Jun;31(5):304-8. doi: 10.1055/s-2007-995925.
5
Accelerated onset and delayed recovery of neuromuscular block induced by mivacurium preceded by pancuronium in children.在儿童中,潘库溴铵预处理后米库氯铵诱导的神经肌肉阻滞起效加速且恢复延迟。
Anesth Analg. 1993 May;76(5):998-1003. doi: 10.1213/00000539-199305000-00014.
6
[Clinical research of muscular relaxation induced by alcuronium and pancuronium].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1995 Aug;17(4):301-4.
7
The induction phase of neuromuscular block after suxamethonium and pancuronium: analysis of the time constant of single-twitch decay (tau T1).琥珀酰胆碱和泮库溴铵后神经肌肉阻滞的诱导期:单刺激衰减时间常数(τT1)分析
Eur J Anaesthesiol. 1988 May;5(3):161-70.
8
Administration of vecuronium, atracurium and pancuronium in divided doses: effect on onset and duration of action.
Eur J Anaesthesiol. 1988 Jul;5(4):243-9.
9
Rapid administration of a narcotic and neuromuscular blocker: a hemodynamic comparison of fentanyl, sufentanil, pancuronium, and vecuronium.快速给予麻醉剂和神经肌肉阻滞剂:芬太尼、舒芬太尼、潘库溴铵和维库溴铵的血流动力学比较。
Anesth Analg. 1988 Jan;67(1):39-47.
10
Economy in the use of muscle relaxants. Vecuronium after pancuronium.肌肉松弛剂的使用经济性。泮库溴铵之后使用维库溴铵。
Anaesthesia. 1987 Mar;42(3):277-80. doi: 10.1111/j.1365-2044.1987.tb03039.x.

引用本文的文献

1
Target controlled priming for rapid onset of intubation dose: A new approach.用于快速起效插管剂量的靶控预充:一种新方法。
J Anesth. 1997 Dec;11(4):255-259. doi: 10.1007/BF02480740.
2
Different priming techniques, including mivacurium, accelerate the onset of rocuronium.不同的预充技术,包括米库氯铵,可加速罗库溴铵的起效。
Can J Anaesth. 1994 Oct;41(10):902-7. doi: 10.1007/BF03010932.
3
Accelerated reversal of atracurium blockade with divided doses of neostigmine.新斯的明分次给药加速阿曲库铵阻滞的逆转

本文引用的文献

1
Mixed neuromuscular block: the effect of precurarization.混合性神经肌肉阻滞:预箭毒化的作用
Anaesthesia. 1981 Jul;36(7):661-6. doi: 10.1111/j.1365-2044.1981.tb08776.x.
2
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.
3
Pharmacokinetics, pharmacodynamics, and dose-response relationships of pancuronium in control and elderly subjects.泮库溴铵在对照人群和老年人群中的药代动力学、药效学及剂量反应关系。
Can Anaesth Soc J. 1986 Nov;33(6):723-8. doi: 10.1007/BF03027121.
4
The optimal priming dose for atracurium.阿曲库铵的最佳预注剂量。
Can Anaesth Soc J. 1986 Jul;33(4):453-7. doi: 10.1007/BF03010970.
5
Accelerated onset and delayed recovery of d-tubocurarine blockade with pancuronium in infants and children.在婴幼儿和儿童中,泮库溴铵可加速筒箭毒碱阻滞的起效并延迟其恢复。
Can J Anaesth. 1987 Nov;34(6):555-9. doi: 10.1007/BF03010509.
6
Efficacy of priming with atracurium.阿曲库铵预充的疗效。
Can J Anaesth. 1987 May;34(3 ( Pt 1)):330-2. doi: 10.1007/BF03015182.
7
Intraocular pressure--physiology and implications for anaesthetic management.眼压——生理学及对麻醉管理的影响
Can Anaesth Soc J. 1986 Mar;33(2):195-208. doi: 10.1007/BF03010831.
8
Onset of action of relaxants.松弛剂的起效时间。
Can J Anaesth. 1988 May;35(3 ( Pt 2)):S52-8. doi: 10.1007/BF03026928.
9
Onset of pancuronium and d-tubocurarine blockade with priming.
Can Anaesth Soc J. 1986 Sep;33(5):571-7. doi: 10.1007/BF03014262.
10
The priming saga: where do we stand now?引发事件传奇:我们如今处于何种境地?
Can J Anaesth. 1988 Jan;35(1):1-4. doi: 10.1007/BF03010535.
Anesthesiology. 1982 Jan;56(1):36-40. doi: 10.1097/00000542-198201000-00008.
4
Intubation conditions after atracurium and suxamethonium.阿曲库铵和琥珀胆碱后的插管条件。
Br J Anaesth. 1983;55 Suppl 1:83S-86S.
5
Neuromuscular blocking drugs in anaesthesia.
Can Anaesth Soc J. 1984 May;31(3 Pt 1):324-36. doi: 10.1007/BF03007899.
6
Acetylcholine receptor.乙酰胆碱受体
Br J Anaesth. 1982 Feb;54(2):115-30. doi: 10.1093/bja/54.2.115.
7
Prejunctional and postjunctional cholinoceptors at the neuromuscular junction.神经肌肉接头处的接头前和接头后胆碱能受体。
Anesth Analg. 1980 Dec;59(12):935-43.
8
Stimulus frequency in the detection of neuromuscular block in humans.人类神经肌肉阻滞检测中的刺激频率
Br J Anaesth. 1970 Nov;42(11):967-78. doi: 10.1093/bja/42.11.967.
9
Flow requirements for a modified Mapleson D system during controlled ventilation.
Can Anaesth Soc J. 1973 Sep;20(5):629-36. doi: 10.1007/BF03026260.
10
The margin of safety of neuromuscular transmission.神经肌肉传递的安全界限。
J Physiol. 1967 Jul;191(1):59-90. doi: 10.1113/jphysiol.1967.sp008237.