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  • 标题:The Train - of - Four Response on the Priming Dose of Various Nondepolarizing Muscle Relaxants
  • 作者:Lee, Kyung Woo ; Kang, Kyu Sik ; Hwang, Kyung Ho
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:1990
  • 卷号:23
  • 期号:6
  • 页码:956-961
  • DOI:10.4097/kjae.1990.23.6.956
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    The priming principle refers to the administration of a small subparalyzing dose (priming dose) of a nondepolarizing muscle relaxant, such dose not cause respiratory depression or any other clinical signs, a few minutes prior to the administration of the larger intubating dose. This study was designed to investigate the influence of a priming dose of vecuronium (0.008 mg/kg), pancuronium (0.008 mg/kg) and d-tubocurarine (0.04 nig/kg) on the relationship between the depres- sion in the first twitch (T2%) of the train-of-four (TOF) and TOF ratio (T4R,%) in 27 ASA class I or II patients. After induction with thiopental sodium 5-6mg/kg, neuromuscular monitoring was carried out by stimulation of ulnar nerve at a frequency of 2 Hz every 20 seconds using a ABM (Datex) to measure the compound evoked electromyographic response of hypothenar muscle. Following calibration of control twitch height, tracheal intubation was performed after succinyl-choline 1 mg/kg IV. Anesthesia was maintained with oxygen, NO (50%) and enflurane (1-2%) in all patients. When the TOF response recovered to 100% of the control, the priming dose was administer-ed. The patients were randomly divided into three groups according to nondepolarizing muscle relax-ant used; vecuronium (n=9), pancuronium (n=8) and tubocurarine (n=10) group respectively. T1 and T4R were measured for 25 minutes after administration of priming dose in each group. The results were as follow: 1) There was no change in T, after priming in all groups. 2) T4R began to decrease significantly at 2 minutes after priming and still decreased significantly at 25 minutes compared to before priming. 3) The time for maximal decrease in T4R (%) proceded by the priming dose was 7 minutes in all groups; 60.7±8.6% in vecuronium group, 74.8±12.3% in pancuronium group and 78.3±11.3% in tubocurarine group.

  • 关键词:Priming dose; Train-of-four response; Nondepolarizing muscle relaxants
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