Document Detail


Neuromuscular blockade with vecuronium in paediatric patients with burn injury.
MedLine Citation:
PMID:  2570602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. The effect of body surface area (BSA) burn injury on neuromuscular pharmacodynamics of vecuronium was evaluated. 2. The neuromuscular responses of 15 burned children were compared with those in five controls. 3. The effective dose for 50% suppression of twitch tension (ED50) was 34 micrograms kg-1 for patients with less than 40% BSA burn, 55 micrograms kg-1 for 40-60% BSA burn, and 65 micrograms kg-1 for patients with greater than 60% BSA burn. These values were significantly higher than the value for control patients, which was 18 micrograms kg-1. 4. Burn injury induces a resistance to the neuromuscular effects of vecuronium, the magnitude of which is related to burn size.
Authors:
A K Mills; J A Martyn
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  British journal of clinical pharmacology     Volume:  28     ISSN:  0306-5251     ISO Abbreviation:  Br J Clin Pharmacol     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-10-23     Completed Date:  1989-10-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503323     Medline TA:  Br J Clin Pharmacol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, Harvard Medical School, Boston, MA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia
Burns / physiopathology*
Child
Child, Preschool
Dose-Response Relationship, Drug
Electric Stimulation
Female
Humans
Infant
Male
Muscle Contraction / drug effects
Neuromuscular Blocking Agents*
Vecuronium Bromide / administration & dosage,  pharmacology*
Grant Support
ID/Acronym/Agency:
GM 31569/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
0/Neuromuscular Blocking Agents; 50700-72-6/Vecuronium Bromide
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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