VECURONIUM BLOCK IN THE MYASTHENIC PATIENT - INFLUENCE OF ANTICHOLINESTERASE THERAPY

被引:20
作者
BARAKA, A
TAHA, S
YAZBECK, V
RIZKALLAH, P
机构
[1] FRCA, Department of Anestb, American University of Beirut, Beirut
[2] Department of Anestb, American University of Beirut, Beirut
[3] Department of Anestbsiology, American University of Beirut, Beirut
[4] American University of Beirut, Beirut
关键词
NEUROMUSCULAR RELAXANTS; VECURONIUM; ANTAGONISTS; PYRIDOSTIGMINE; COMPLICATIONS; MYASTHENIA GRAVIS;
D O I
10.1111/j.1365-2044.1993.tb07122.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The neuromuscular block of vecuronium was investigated in two myasthenic patients undergoing thymectomy. The first patient had no pre‐operative anticholinesterase therapy, the second patient was given pyridostigmine 60 mg 4 hourly, continued until the morning of surgery. In the two patients, neuromuscular block of vecuronium was monitored by electromyography. The results suggest that the neuromuscular block of vecuronium may be decreased by pre‐operative preparation of the myasthenic patient by pyridostigmine. Copyright © 1993, Wiley Blackwell. All rights reserved
引用
收藏
页码:588 / 590
页数:3
相关论文
共 15 条
[1]   ANESTHESIA AND MYASTHENIA-GRAVIS [J].
BARAKA, A .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1992, 39 (05) :476-486
[2]  
BARAKA A, 1991, ANESTH ANALG, V72, P827
[3]   SUXAMETHONIUM BLOCK IN THE MYASTHENIC PATIENT - CORRELATION WITH PLASMA CHOLINESTERASE [J].
BARAKA, A .
ANAESTHESIA, 1992, 47 (03) :217-219
[4]   EFFECT OF NEOSTIGMINE AND PYRIDOSTIGMINE ON THE PLASMA CHOLINESTERASE ACTIVITY [J].
BARAKA, A ;
WAKID, N ;
MANSOUR, R ;
HADDAD, W .
BRITISH JOURNAL OF ANAESTHESIA, 1981, 53 (08) :849-851
[5]  
BRADLEY WG, 1987, HARRISONS PRINCIPLES, P2193
[6]   VECURONIUM FOR MUSCLE-RELAXATION IN PATIENTS WITH MYASTHENIA-GRAVIS [J].
BUZELLO, W ;
NOELDGE, G ;
KRIEG, N ;
BROBMANN, GF .
ANESTHESIOLOGY, 1986, 64 (04) :507-509
[7]   MYASTHENIA-GRAVIS .1. [J].
DRACHMAN, DB .
NEW ENGLAND JOURNAL OF MEDICINE, 1978, 298 (03) :136-142
[8]   RESISTANCE TO SUCCINYLCHOLINE IN MYASTHENIA-GRAVIS - A DOSE-RESPONSE STUDY [J].
EISENKRAFT, JB ;
BOOK, WJ ;
MANN, SM ;
PAPATESTAS, AE ;
HUBBARD, M .
ANESTHESIOLOGY, 1988, 69 (05) :760-763
[9]  
EISENKRAFT JB, 1990, CANADIAN J ANAESTHES, V7, P301
[10]   VECURONIUM IN THE MYASTHENIC PATIENT [J].
HUNTER, JM ;
BELL, CF ;
FLORENCE, AM ;
JONES, RS ;
UTTING, JE .
ANAESTHESIA, 1985, 40 (09) :848-853