首页   按分类浏览 期刊浏览 卷期浏览 IN VITROTIME COURSE STUDIES ON TRAIN‐OF‐FOUR FADE INDUCED BY HEXAMETHONIUM, PANCURONIUM...
IN VITROTIME COURSE STUDIES ON TRAIN‐OF‐FOUR FADE INDUCED BY HEXAMETHONIUM, PANCURONIUM AND DECAMETHONIUM IN THE RAT HEMIDIAPHRAGM

 

作者: M. C. E. Gwee,   L. S. Cheah,  

 

期刊: Clinical and Experimental Pharmacology and Physiology  (WILEY Available online 1989)
卷期: Volume 16, issue 12  

页码: 897-903

 

ISSN:0305-1870

 

年代: 1989

 

DOI:10.1111/j.1440-1681.1989.tb02400.x

 

出版商: Blackwell Publishing Ltd

 

关键词: decamethonium;hexamethonium;neuromuscular blockade;pancuronium;rat;train‐of‐four fade

 

数据来源: WILEY

 

摘要:

SUMMARY1.In vitrotime course studies on the effects of hexamethonium (7 mmol/L), pancuronium (5 μmol/L) and decamethonium (220 μmol/L) on nerve‐evoked (2 Hz for 2 s every 20 s) maximal twitches (T1, T2, T3, T4) of the rat hemidiaphragm were conducted. All three drugs progressively depressed all four twitches in a given train but at different rates (T4>T3>T2≫ T1).2. The response‐time profiles for T1and T4varied widely for the three drugs such that, for the same degree of T1‐block, each drug produced a different magnitude of T4‐block during the onset of and recovery from neuromuscular blockade.3. Analysis of the T1versus T4/T1plot showed that, at 50% T1‐block, the corresponding T4/T1(i.e. train‐of‐four ratios) during the onset (and recovery) phase were 0.16 (0.29), 0.46 (0.40) and 0.66 (0.53) for hexamethonium, pancuronium and decamethonium, respectively. Thus, for the same degree (i.e. 50%) of twitch (T1) tension depression, the three drugs differed widely in their ability (hexamethonium ≫ pancuronium>decamethonium) to produce fade as reflected in the respective train‐of‐four ratio.4. Our results therefore show that the train‐of‐four ratio (T4/T1) at 50% T1‐block obtained from suchin vitrotime course studies is a useful quantitative index of the potential of various drugs to cause train‐of‐four fade. Based on this index a classification of various compounds already studied is proposed as follows: hexamethonium ≫ pancuronium ∼ (+)‐tubocurarine>decameth

 

点击下载:  PDF (460KB)



返 回