Korean J Anesthesiol.  1990 Feb;23(1):47-50. 10.4097/kjae.1990.23.1.47.

The Effects of Divided Doses of Neostigmine on Reversal of Vecuronium Block

• Lee YS
• Kim JS
• Kim JR

• KMID: 1933736
• DOI: http://doi.org/10.4097/kjae.1990.23.1.47

Abstract

The hypothesis that administration of neostigmine in divided doses might accelerate the antagonism of nuromuscular blockade was investigated. Neostigmine 0.05mg/kg was adminsitered either in a single bolus dose (Group I, n=10) or in an initial dose of 0.01 mg/kg 1 minute later (Group II, n=10), 2 minutes later (Group III, n=10) and 3 minutes later (Group IV, n=10) for antagonism of vecuronium- induced blockade. Reversal was attepted at 10 percent spontaneous recovery of twitch height. The mean time (+/-SE) from the first injection of the drug until the train-of-four(TOF) ratio value had reached 0. 75 was signifincantly longer in Group II and IV (594.8+/-63.9 seconds and 555.6+/-22.2 seconds respectively) than Group I and III (380.6+36.0 seconds and 357.8+/-44.2 seconds respectively). It is concluded that adminstration of neostigmine in divided doses with 0. 01 mg/kg and 0.04 mg/kg did not produce a significantly faster reversal of residual vecuronium-induced neuromuscular blockade as compared to a single bolus administration.

Keyword

Anticholinesterase; Train-on-four stimulation

MeSH Terms

Neostigmine*
Neuromuscular Blockade
Vecuronium Bromide*
Neostigmine
Vecuronium Bromide