[Effects of propofol and isoflurane on the neuromuscular block induced by atracurium].
Speed of onset, duration of action and recovery time for a bolus injection of atracurium were measured in two groups of patients. In group I anaesthesia considered of propofol, fentanyl, nitrous oxide and oxygen mixture. The induction dose of propofol was 2 mg/kg-1 followed by an infusion of 9.0 mg/kg-1/h-1 for first half hour and 4.5 mg/Kg-1/h-1 subsequently. In group II anaesthesia consisted of isoflurane, fentanyl, nitrous oxide and oxygen mixture. Isoflurane was given upon clinical needs. Speed of onset, duration of action, and recovery time for atracurium were measured in the two groups. No statistically significant differences between speed of onset and duration of action between the two groups were found. The recovery period from T1 = 10% to T1 = 70% twitch response was considerably longer with isoflurane (25 min +/- 6) than with propofol (18 min +/- 3) (p less than 0.01). Results obtained suggest that for adequate relaxation during tracheal intubation smaller doses of atracurium are not needed during isoflurane than propofol administration. Because of the longer recovery period of residual neuromuscular blockade during isoflurane anaesthesia decreasing doses of atracurium and careful monitoring of twitch depression tension are also suggested.
Gregorini
P
P
Servizio di Anestesia I e Rianimazione, USL n. 27, Ospedale Maggiore, Bologna.
De Patre
P
P
Pasini
T
T
Ronca
A
A
D000328:Adult; D001279:Atracurium; D005260:Female; D006801:Humans; D007530:Isoflurane / Q000494:pharmacology*; D008875:Middle Aged; D009407:Nerve Block; D009469:Neuromuscular Junction / Q000187:drug effects*; D015742:Propofol / Q000494:pharmacology*
D001279:Atracurium; D007530:Isoflurane; D015742:Propofol
Effetti del propofol e dell'isoflurano sul blocco neuromuscolare da atracurium.