Reversal of combination nondepolarized neuromuscular block.
The antagonism of a pancuronium-curare (P + C) neuromuscular block was assessed and compared to the antagonism of a pancuronium (P) block. One group of seven patients received P + C (0.024 mg/kg + 0.144 mg/kg); another similar group of seven patients received P (0.07 mg/kg). Both groups were anesthetized with nitrous oxide/oxygen/narcotic anesthesia. Each patient received 0.025 mg/kg of neostigmine when a train-of-four revealed only one twitch (90% block). The resultant antagonism of the pancuronium-curare blocks was the same as the antagonism of the pancuronium blocks (train-of-four ratio, 0.38 vs 0.32; P = 0.5). The authors conclude that neostigmine requirements for combination blocks are the same as those for single agent blocks.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D004558:Electric Stimulation; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction / Q000187:drug effects; D009294:Narcotics; D009388:Neostigmine / Q000494:pharmacology*; D003473:Neuromuscular Nondepolarizing Agents / Q000037:antagonists & inhibitors*; D009609:Nitrous Oxide; D010197:Pancuronium / Q000037:antagonists & inhibitors; D014459:Ulnar Nerve / Q000502:physiology
D009294:Narcotics; D003473:Neuromuscular Nondepolarizing Agents; D009388:Neostigmine; D010197:Pancuronium; D009609:Nitrous Oxide