| Assessment of neuromuscular block at the thumb and great toe using accelography in infants. | |
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MedLine Citation:
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PMID: 8686821 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We assessed neuromuscular block at the thumb and great toe using accelography after the administration of vecuronium in infants. Train-of-four stimuli were simultaneously applied to the ulnar and tibial nerves using cutaneous electrodes. Anaesthesia was maintained with nitrous oxide (66%) in oxygen and sevoflurane (1%). Vecuronium 0.1 mg.kg-1 was used for paralysis and reversed with intravenous neostigmine 0.04 mg.kg-1 with atropine 0.02 mg.kg-1 when the train-of-four ratio on the right great toe returned to 25%. The mean (SD) times from initial administration of vecuronium to completion of maximal block on the thumb and great toe were 78 (21.1) s and 75 (14.3) s, respectively (p > 0.05). The times from maximal block to 25% recovery of twitch height at the thumb and great toe were 46 (9.1) min and 45 (9.0) min, respectively. The reversal time from 25% to 75% of the train-of-four ratio after the administration of neostigmine was 136 (49.1) s. We conclude that neuromuscular monitoring of the great toe in infants may be a suitable alternative when the thumb is inaccessible. |
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Authors:
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T Kitajima; K Ishii; H Ogata |
Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Anaesthesia Volume: 51 ISSN: 0003-2409 ISO Abbreviation: Anaesthesia Publication Date: 1996 Apr |
Date Detail:
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Created Date: 1996-08-19 Completed Date: 1996-08-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 341-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Anaesthesiology, Dokkyo University School of Medicine, Tochigi, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, General Electric Stimulation Electromyography / methods Female Humans Infant Male Monitoring, Intraoperative / methods Nerve Block* Neuromuscular Nondepolarizing Agents* Thumb / innervation*, physiology Tibial Nerve / physiology Toes / innervation*, physiology Ulnar Nerve / physiology Vecuronium Bromide* |
| Chemical | |
Reg. No./Substance:
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0/Neuromuscular Nondepolarizing Agents; 50700-72-6/Vecuronium Bromide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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