CLINICAL OBSERVATIONS ON THE NEUROMUSCULAR BLOCKING ACTION OF ORG-9426, A NEW STEROIDAL NONDEPOLARIZING AGENT

被引:133
作者
WIERDA, JMKH [1 ]
DEWIT, APM [1 ]
KUIZENGA, K [1 ]
AGOSTON, S [1 ]
机构
[1] UNIV GRONINGEN,INST CLIN PHARMACOL,RES GRP,9713 EZ GRONINGEN,NETHERLANDS
关键词
Intubation; tracheal; Neuromuscular relaxants: Org 9426; vecuronium;
D O I
10.1093/bja/64.4.521
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Summary: The neuromuscular blocking effects of Org 9426, the 2-morpholino, 16-allyl-pyrrolidino derivative of the 3-desacetoxy analogue of vecuronium have been investigated in anaesthetized patients. Based on data from a pilot study, two doses, 250 and 500 μg kg-1 (estimated as the ED90 and 2 × ED 90, respectively) were chosen. Org 9426 appeared to be six to eight times less potent than vecuronium and showed a faster rate of development of neuromuscular block, with good to excellent intubation conditions within 60 s after administration of a dose of 500 μg kg-1. The duration of action and the recovery index appeared to be similar to those of vecuronium. Side effects were not noted. Org 9426 may have advantages over existing non-depolarizing neuromuscular blocking agents with respect to rate of development of good intubating conditions, and is stable in aqueous solutions. © 1990 British Journal of Anaesthesia.
引用
收藏
页码:521 / 523
页数:3
相关论文
共 5 条
[1]   THE NEUROMUSCULAR BLOCKING ACTION OF ORG-NC-45, A NEW PANCURONIUM DERIVATIVE, IN ANESTHETIZED PATIENTS - A PILOT-STUDY [J].
AGOSTON, S ;
SALT, P ;
NEWTON, D ;
BENCINI, A ;
BOOMSMA, P ;
ERDMANN, W .
BRITISH JOURNAL OF ANAESTHESIA, 1980, 52 :S53-S59
[2]   STRUCTURE - ACTION RELATIONSHIPS AMONG SOME DESACETOXY ANALOGS OF PANCURONIUM AND VECURONIUM IN THE ANESTHETIZED CAT [J].
BOWMAN, WC ;
RODGER, IW ;
HOUSTON, J ;
MARSHALL, RJ ;
MCINDEWAR, I .
ANESTHESIOLOGY, 1988, 69 (01) :57-62
[3]  
BOWMAN WC, 1980, ANESTH ANALG, V59, P935
[4]   INTUBATION CONDITIONS AND REVERSIBILITY OF A NEW NON-DEPOLARIZING NEUROMUSCULAR BLOCKING-AGENT, ORG-NC45 [J].
KRIEG, N ;
MAZUR, L ;
BOOIJ, LHDJ ;
CRUL, JF .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1980, 24 (05) :423-425
[5]   EFFECTS OF A NEW NEUROMUSCULAR BLOCKING-AGENT (ORG-9426) IN ANESTHETIZED CATS AND PIGS AND IN ISOLATED NERVE MUSCLE PREPARATIONS [J].
MUIR, AW ;
HOUSTON, J ;
GREEN, KL ;
MARSHALL, RJ ;
BOWMAN, WC ;
MARSHALL, IG .
BRITISH JOURNAL OF ANAESTHESIA, 1989, 63 (04) :400-410