Patients undergoing general anaesthesia: A dosage comparison study of cisatracurium for intubation

Abdullaeva Ck, S. Mohapatra, A. Patel
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Abstract

Cisatracurium is a novel, intermediate-lasting neuromuscular blocking medication that belongs to the benzylisoquinolinium class and does not cause depolarization. It serves as a stereoisomer as atracurium having around three to four times the potency of atracurium. At doses up to 0.4mg/kg (8xED95), cisatracurium does not produce histamine release and is linked with greater stability of hemodynamics than atracurium. A 0.15mg/kg (3xED95) intubating dose is advised. High Comparing atracurium to cisatracurium at same doses, most previous clinical investigations have found that atracurium has been more efficacious than cisatracurium at the same dose (2ED95). Raising the daily intake of cisatracurium from ED95 (0.1mg/kg) to ED95 (0.2mg/kg) or ED95 (0.3mg/kg) has been proven in a small number of investigations to result in greater neuromuscular blockage and better cardiovascular stability without a noticeable increase in histamine release. Therefore, the current study was conducted to examine the effects of cisatracurium at 2 ED95 and 4 ED95 on intubating circumstances and hemodynamic stability.
全麻患者:顺阿曲库铵插管用量比较研究
顺阿曲库铵是一种新型的中效神经肌肉阻断药物,属于苯并异喹啉类,不会引起去极化。它作为一种立体异构体与阿曲库铵作用,其效力是阿曲库铵的三到四倍。当剂量高达0.4mg/kg (8xED95)时,顺阿曲库铵不会产生组胺释放,并且与阿曲库铵相比具有更大的血流动力学稳定性。建议0.15mg/kg (3xED95)插管剂量。比较相同剂量的阿曲库铵与顺阿曲库铵,以往大多数临床研究发现,相同剂量的阿曲库铵比顺阿曲库铵更有效(2ED95)。少量研究已证明,将顺阿曲库铵的每日摄入量从ED95 (0.1mg/kg)提高到ED95 (0.2mg/kg)或ED95 (0.3mg/kg)可导致更大的神经肌肉阻塞和更好的心血管稳定性,而组胺释放却没有明显增加。因此,本研究旨在探讨顺阿曲库铵在2ed95和4ed95时对插管环境和血流动力学稳定性的影响。
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