Onset of vecuronium neuromuscular blockade at the hand with an arterio-venous shunt

Hiroshi Iwasaki, Masanori Yamauchi, Eichi Narimatsu, Michiaki Yamakage, Hideaki Tsuchida, Akiyoshi Namiki

研究成果: Article査読

3 被引用数 (Scopus)

抄録

Purpose: To evaluate the onset of vecuronium neuromuscular blockade in the hand with an arterio-venous shunt for haemodialysis. Methods: In 15 adult patients receiving haemodialysis for renal failure the onset of vecuronium-induced neuromuscular blockade after 0.08 mg·kg-1 vecuronium iv was measured. Using train-of-four mechanomyographic monitoring, the force of contraction of the adductor pollicis of both hands with and without arterio-venous shunt was measured simultaneously. Results: The times from the injection to the first depression of twitch response (latent onset) and 95% twitch depression (onset) in the hand with and without arterio-venous shunt were 114.7 ± 33.4 and 218.7 ± 59.9 and 117.3 ± 34.3 and 208.7 ± 60.9 sec respectively. No difference in the onset of vecuronium neuromuscular blockade in the hand an arterio-venous shunt was demonstrated. Conclusion: The presence of an arteriovenous fistula does not modify the onset on neuromuscular blockade. Either arm can be used to monitor onset of neuromuscular blockade in chronic renal failure patients with an arterio-venous shunt in the hand for haemodialysis.

本文言語English
ページ(範囲)1208-1210
ページ数3
ジャーナルCanadian Journal of Anaesthesia
44
11
DOI
出版ステータスPublished - 1997 11
外部発表はい

ASJC Scopus subject areas

  • 麻酔学および疼痛医療

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