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Quantitative Examination of the Interaction of Competitive Neuromuscular Blocking Agents on the Indirectly Elicited Muscle Twitch

 

作者: B. Waud,   D. Waud,  

 

期刊: Anesthesiology  (OVID Available online 1984)
卷期: Volume 61, issue 4  

页码: 420-427

 

ISSN:0003-3022

 

年代: 1984

 

出版商: OVID

 

关键词: Neuromuscular relaxants:;d-tubocurarine;;gallamine;;metocurine;;pancuronium.;Interaction:;neuromuscular relaxants.

 

数据来源: OVID

 

摘要:

Gallamine, metocurine, pancuronium, andd-tubocurarine were compared when given alone and in combination with isolated guinea pig nerve-lumbrical preparations stimulated via the nerve. The experimental design was set up to control the effects of variation among preparations, order of administration, and time of administration (i.e., freshvs.older preparation). The result was an assay able to measure potentiation with a coefficient of variation of 3%. A format for a graphic presentation to summarize such results is presented and discussed. Two combinations, gallamine plusd-tubocurarine and gallamine plus pancuronium, showed no sign of an interaction beyond that to be expected from a simple competitive interaction. Two others, metocurine plus pancuronium and gallamine plus metocurine, showed about a twofold greater potency when combined than would have been expected. The last two sets, pancuronium plusd-tubocurarine and metocurine plusd-tubocurarine, showed a slight degree of potentiation. These studies demonstrate that the deviation from simple additivity seenin vivopersists when examined in a system free from artifacts associated with uptake and distribution in the whole organism.

 

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