Vecuronium infusions in patients with renal failure in an ITU

SMITH, C. L. ; HUNTER, J. M. ; JONES, R. S.

Oxford, UK : Blackwell Publishing Ltd
Published 1987
ISSN:
1365-2044
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
Type of Medium:
Electronic Resource
URL:
_version_ 1798290174865571840
autor SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
book_url http://dx.doi.org/10.1111/j.1365-2044.1987.tb03980.x
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLZ239189825
insertion_date 2012-04-17
issn 1365-2044
journal_name Anaesthesia
materialart 1
notes The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
package_name Blackwell Publishing
publikationsjahr_anzeige 1987
publikationsjahr_facette 1987
publikationsjahr_intervall 8014:1985-1989
publikationsjahr_sort 1987
publikationsort Oxford, UK
publisher Blackwell Publishing Ltd
reference 42 (1987), S. 0
search_space articles
shingle_author_1 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
shingle_author_2 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
shingle_author_3 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
shingle_author_4 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
shingle_catch_all_1 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
Vecuronium infusions in patients with renal failure in an ITU
Blackwell Publishing Ltd
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
1365-2044
13652044
shingle_catch_all_2 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
Vecuronium infusions in patients with renal failure in an ITU
Blackwell Publishing Ltd
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
1365-2044
13652044
shingle_catch_all_3 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
Vecuronium infusions in patients with renal failure in an ITU
Blackwell Publishing Ltd
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
1365-2044
13652044
shingle_catch_all_4 SMITH, C. L.
HUNTER, J. M.
JONES, R. S.
Vecuronium infusions in patients with renal failure in an ITU
Blackwell Publishing Ltd
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.
1365-2044
13652044
shingle_title_1 Vecuronium infusions in patients with renal failure in an ITU
shingle_title_2 Vecuronium infusions in patients with renal failure in an ITU
shingle_title_3 Vecuronium infusions in patients with renal failure in an ITU
shingle_title_4 Vecuronium infusions in patients with renal failure in an ITU
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source_archive Blackwell Publishing Journal Backfiles 1879-2005
timestamp 2024-05-06T08:12:33.013Z
titel Vecuronium infusions in patients with renal failure in an ITU
titel_suche Vecuronium infusions in patients with renal failure in an ITU
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