The effects of sevoflurane are similar to those of isoflurane on the neuromuscular block produced by vecuronium

Publisher Website
Google Scholar
Abstract
We have examined the interactions of 1 MAC of isoflurane and sevoflurane (and 66% nitrous oxide in oxygen) with vecuronium, using the EMG response of the abductor digiti minimi to train-of-four (TOF) stimulation of the ulnar nerve. We constructed dose-response curves for vecuronium in 54 patients. The curves for both isoflurane and sevoflurane had a significant leftward shift compared with that for fentanyl-nitrous oxide anaesthesia (P < 0.01). When the amplitudes of the first response (T1) had recovered to 50% of control in another 32 patients, subsequently we compared the spontaneous recovery rate of the ratio of the fourth to the first TOF response (T4:T1) at 3-min intervals during the 15-min period, in the presence of two volatile anaesthetics or after discontinuation of administration of anaesthetic. The rate of recovery of T4:T1 was significantly greater when both anaesthetics were discontinued. However, this rate was similar for both anaesthetics, suggesting that the mechanism of action of the two anaesthetics is similar.

This publication has 0 references indexed in Scilit: