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April 1, 1989Acta Anaesthesiologica Scandinavica

Train–of–four fade during onset of neuromuscular block with nondepolarising neuromuscular blocking agents

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Key result

Atracurium and tubocurarine produced significantly greater train-of-four fade during the onset of neuromuscular block compared to vecuronium or pancuronium.

Why the study?

Does the type of nondepolarising neuromuscular blocking agent affect train-of-four fade during onset of block?

Population

Subjects receiving nondepolarising neuromuscular blocking agents

Comparison

Atracurium, vecuronium, pancuronium or… vs Comparison among the different neuromuscular…

Design

Other

Authors

FGF. M. GibsonQueen's University BelfastRMR. K. MirakhurUniversity of Copenhagen

Discussion

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Implication

May warrant agent-specific TOF interpretation during NMBA onset; hypothesis-generating and should not yet change practice.

Structured PICO

Does the type of nondepolarising neuromuscular blocking agent affect train-of-four fade during onset of block?

P
Population
Subjects receiving nondepolarising neuromuscular blocking agents
I
Intervention
Atracurium (225 or 450 micrograms/kg), vecuronium (40 or 80 micrograms/kg), pancuronium (60 or 120 micrograms/kg) or tubocurarine (450 micrograms/kg)
C
Comparator
Comparison among the different neuromuscular blocking agents
O
Outcome
Train-of-four (TOF) fade during onset of neuromuscular block at T1 heights of 75, 50 and 25%surrogate

Different nondepolarising neuromuscular blocking agents exhibit varying degrees of train-of-four fade during the onset of block, with vecuronium showing the least fade.

Cite This Study

Gibson et al. (1989) studied Neuromuscular block. Nondepolarising neuromuscular blocking agents vs. Between-drug comparison was evaluated on Fade in the train-of-four (TOF) responses. Atracurium and tubocurarine produced significantly greater train-of-four fade during the onset of neuromuscular block compared to vecuronium or pancuronium.

synapsesocial.com/papers/6a9c6c1cffeecd27fa4a45cahttps://doi.org/10.1111/j.1399-6576.1989.tb02890.x
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

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