Apfelbaum J L
Department of Anesthesia and Critical Care, University of Chicago Hospitals, IL 60637, USA.
Acta Anaesthesiol Scand Suppl. 1995;106:55-7. doi: 10.1111/j.1399-6576.1995.tb04311.x.
As a consequence of its rapid hydrolysis by plasma cholinesterase, mivacurium has a short duration of action, and recovery from neuromuscular blockade is rapid (5-95% twitch recovery = 13-15 min). Mivacurium is easy to titrate to individual patient requirements; the average infusion rate to maintain neuromuscular blockade at 89-99% twitch suppression during N2O/opioid anaesthesia is 6-7 micrograms/kg per min in adults and approximately 14 micrograms/kg per min in children. There is no evidence of a cumulative effect of mivacurium; recovery is unaffected by dose administered or duration of infusion. These characteristics make mivacurium a very suitable agent for use by infusion.
由于米库氯铵可被血浆胆碱酯酶迅速水解,其作用持续时间较短,神经肌肉阻滞的恢复也很快(5 - 95%颤搐恢复 = 13 - 15分钟)。米库氯铵易于根据个体患者的需求进行滴定;在氧化亚氮/阿片类麻醉期间,将神经肌肉阻滞维持在89 - 99%颤搐抑制的平均输注速率,在成人中为6 - 7微克/千克每分钟,在儿童中约为14微克/千克每分钟。没有证据表明米库氯铵有累积效应;恢复不受给药剂量或输注持续时间的影响。这些特性使米库氯铵成为一种非常适合通过输注使用的药物。