Document Detail

Assessment of neuromuscular block at the thumb and great toe using accelography in infants.
MedLine Citation:
PMID:  8686821     Owner:  NLM     Status:  MEDLINE    
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 was used for paralysis and reversed with intravenous neostigmine 0.04 with atropine 0.02 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.
T Kitajima; K Ishii; H Ogata
Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  51     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-08-19     Completed Date:  1996-08-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  341-3     Citation Subset:  AIM; IM    
Department of Anaesthesiology, Dokkyo University School of Medicine, Tochigi, Japan.
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MeSH Terms
Anesthesia, General
Electric Stimulation
Electromyography / methods
Monitoring, Intraoperative / methods
Nerve Block*
Neuromuscular Nondepolarizing Agents*
Thumb / innervation*,  physiology
Tibial Nerve / physiology
Toes / innervation*,  physiology
Ulnar Nerve / physiology
Vecuronium Bromide*
Reg. No./Substance:
0/Neuromuscular Nondepolarizing Agents; 50700-72-6/Vecuronium Bromide

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