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新型短效非去极化肌松药杜阿多的神经肌肉及心血管效应

[Neuromuscular and cardiovascular effects of Duador, a new short-acting nondepolarizing muscle relaxant].

作者信息

Fitzal S, Ilias W, Kalina K, Schwarz S, Foldes F F, Steinbereithner K

出版信息

Anaesthesist. 1982 Dec;31(12):674-9.

PMID:6299129
Abstract

The neuromuscular blocking and circulatory effects of a recently synthesized relatively short acting nondepolarizing muscle relaxant, Duador, have been investigated in anaesthetized patients. Duador appears to be a potent muscle relaxant with intermediate duration of action. It had no cumulative effects even after as many as five maintenance doses. Doses of 0.4 mg/kg provided ideal intubating conditions in 2 min, though maximal blockade only developed in about 6 min. Duador was easily antagonized by edrophonium and no signs of recurarisation have been observed. The initial dose of Duador caused a mean 28% increase in heart rate. The increase in heart rate was inversely proportional to the control rate. Repeat doses did not cause further elevation in frequency. Duador had no effect on mean blood pressure.

摘要

在麻醉患者中研究了一种新合成的作用时间相对较短的非去极化肌肉松弛剂杜阿多(Duador)的神经肌肉阻滞和循环效应。杜阿多似乎是一种强效肌肉松弛剂,作用持续时间中等。即使给予多达五次维持剂量,它也没有累积效应。0.4mg/kg的剂量在2分钟内提供了理想的插管条件,尽管最大阻滞作用在约6分钟时才出现。杜阿多很容易被依酚氯铵拮抗,且未观察到再箭毒化的迹象。杜阿多的初始剂量使心率平均增加28%。心率的增加与对照心率成反比。重复给药未导致频率进一步升高。杜阿多对平均血压没有影响。

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