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[Pharmacologic induction of fetal immobilization for prenatal diagnostic-therapeutic procedures].

作者信息

Greco P, Dardes N, Fiore G, Vimercati A, Sasanelli B, Loverro G, Resta M, Spagnolo P

机构信息

Università di Bari, Cattedra di Patologia Ostetrica e Ginecologica R.

出版信息

Minerva Ginecol. 1995 May;47(5):207-10.

PMID:7478086
Abstract

Neuro-muscular blocking agents are currently administered to the fetus during intrauterine procedures, in order to freeze fetal movements and to avoid traumatic effects. The authors have evaluated three drug regimens (Pancuronium, Vecuronium, Atracurium), both via the intramuscular and the intravascular route of administration to the fetus. The time lapse between injection and disappearance of movements and the duration of paralysis have shown no significant differences for each group. The duration of fetal immobilization, on the other hand, has resulted excessively long for the necessity of the procedure. The authors speculate that immaturity of fetal metabolism can be responsible for the prolonged action of the drug. No side effect related to paralysis have been recorded at birth and after two years follow-up.

摘要

相似文献

1
[Pharmacologic induction of fetal immobilization for prenatal diagnostic-therapeutic procedures].
Minerva Ginecol. 1995 May;47(5):207-10.
2
Effect of atracurium or pancuronium on the anemic fetus during and directly after intravascular intrauterine transfusion. A double blind randomized study.阿曲库铵或泮库溴铵对血管内宫内输血期间及输血刚结束后贫血胎儿的影响。一项双盲随机研究。
Acta Obstet Gynecol Scand. 1999 Oct;78(9):763-7.
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[Comparison of the effects of midazolam and thiopental on the neuromuscular response of vecuronium, atracurium, and pancuronium].
Rev Esp Anestesiol Reanim. 1991 Sep-Oct;38(5):293-6.
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Accelerated onset of non-depolarizing neuromuscular blocking drugs: pancuronium, atracurium and vecuronium. A comparison with succinylcholine.非去极化神经肌肉阻滞药物的起效加速:泮库溴铵、阿曲库铵和维库溴铵。与琥珀胆碱的比较。
Eur J Anaesthesiol. 1988 Jan;5(1):15-21.
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Intrauterine neuromuscular blockade in fetus.胎儿宫内神经肌肉阻滞
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Prevention of fetal movement during invasive procedures with pancuronium bromide.
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Cardiovascular effects of non-depolarizing neuromuscular blockers in patients with aortic valve disease.
Can J Anaesth. 1987 Nov;34(6):582-8. doi: 10.1007/BF03010516.
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The use of fetal neuromuscular blockade during intrauterine procedures.宫内手术期间胎儿神经肌肉阻滞的应用。
Am J Obstet Gynecol. 1987 Oct;157(4 Pt 1):874-9. doi: 10.1016/s0002-9378(87)80076-5.
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Comparison of pancuronium and vecuronium for fetal neuromuscular blockade during invasive procedures.泮库溴铵与维库溴铵在侵入性操作期间用于胎儿神经肌肉阻滞的比较。
J Matern Fetal Med. 1996 May-Jun;5(3):151-4. doi: 10.1002/(SICI)1520-6661(199605/06)5:3<151::AID-MFM10>3.0.CO;2-M.
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[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.

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