J Anesth. 1998 Dec;12(4):185-188. doi: 10.1007/BF02481728.
Comparison of respiratory sparing effect between pancuronium and three new nondepolarizing muscle relaxants in rats.
Journal of anesthesia
Misato Kaneko, Lu Hua
Affiliations
Affiliations
- Department of Anesthesiology, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, 105, Tokyo, Japan.
PMID: 28921314
DOI: 10.1007/BF02481728
Abstract
PURPOSE: There is a large difference in sensitivity between respiratory muscles and other limb muscles. This phenomenon, known as the respiratory sparing effect (RSE), is well established withd-tubocurarine, pancuronium, and succinylcholine. The purpose of this study is to evaluate the RSE of these new relaxants, vecuronium, pipecuronium, and ORG9426.
METHODS: The study was done in vivo using rats. Mechanical twitch responses of tibialis anterior muscle and diaphragm stimulated with the sciatic nerve and phrenic nerve, respectively, were recorded simultaneously to monitor neuromuscular transmission. Changes of mechanical twitch responses from both muscles were compared following the injection of four kinds of muscle relaxants (pancuronium, picuronium, recuronium, and ORG9426).
RESULTS: T, D (%) represents the maximum depression in tibialis anterior and diaphragm, respectively. T-D (%), which means the sensitivity difference between the two kinds of muscle, was calculated by subtracting D from T. The T-Ds of pancuronium, pipecuronium, vecuronium, and ORG9426 were 86.0±2.6%, 81.4±1.9%, 77.7±2.1%, and 74.6±2.7%, respectively.
CONCLUSIONS: The results indicated that the blockade produced by each muscle relaxant was lower in the diaphragm than in the anterior tibialis muscle. T-D was significantly smaller with vecuronium or ORG9426 than with pancuronium.
Keywords: Anterior tibialis muscle; Diaphragm; Nondepolarizing muscle relaxants; Respiratory sparing effect
References
- Anesthesiology. 1972 Oct;37(4):417-22 - PubMed
- Br J Anaesth. 1986 May;58(5):494-7 - PubMed
- Br J Anaesth. 1988 Sep;61(3):279-85 - PubMed
- Anesth Analg. 1987 Feb;66(2):117-22 - PubMed
- Anesthesiology. 1961 Mar-Apr;22:230-6 - PubMed
- Anesth Analg. 1988 Jul;67(7):625-30 - PubMed
- J Pharmacol Exp Ther. 1964 Feb;143:187-91 - PubMed
- J Physiol. 1951 Feb;112(3-4):311-31 - PubMed
- Br J Anaesth. 1988 Sep;61(3):286-91 - PubMed
- Masui. 1984 Feb;33(2):120-4 - PubMed
- Anesthesiology. 1983 May;58(5):414-7 - PubMed
Publication Types