COMPARISON OF THE HEMODYNAMIC-EFFECTS OF MIVACURIUM AND ATRACURIUM DURING FENTANYL ANESTHESIA

被引:5
作者
LOAN, PB [1 ]
ELLIOTT, P [1 ]
MIRAKHUR, RK [1 ]
BUNTING, HF [1 ]
BHANUMURTHY, S [1 ]
MCMURRAY, TJ [1 ]
机构
[1] ROYAL HOSP TRUST,DEPT ANAESTHET,BELFAST,ANTRIM,NORTH IRELAND
关键词
NEUROMUSCULAR BLOCK; MIVACURIUM; ATRACURIUM; CARDIOVASCULAR SYSTEM; EFFECTS; SURGERY; CARDIOVASCULAR;
D O I
10.1093/bja/74.3.330
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have measured the haemodynamic effects of mivacurium 0.15 and 0.2 mg kg(-1), and atracurium 0.5 mg kg(-1) administered over 10-15 s in patients undergoing coronary artery bypass surgery under fentanyl anaesthesia. There were no significant haemodynamic changes in the atracurium group, other than a transient decrease in pulmonary arterial wedge pressure. Changes in heart rate were small in all three groups. Mivacurium 0.15 mg kg(-1) produced changes of only small magnitude (12% decrease in mean arterial pressure and 16% decrease in systemic vascular resistance index) however, mivacurium 0.2 mg kg(-1) produced a 25% reduction in mean arterial pressure, a 14% increase in cardiac index and a 35% decrease in systemic vascular resistance index. Erythema developed in two, three and seven patients after atracurium, mivacurium 0.15 mg kg(-1) and mivacurium 0.2 mg kg(-1), respectively. One patient exhibited a 54% decrease in mean arterial pressure, generalized erythema and bronchospasm after mivacurium 0.2 mg kg(-1). The haemodynamic changes with mivacurium suggested histamine release.
引用
收藏
页码:330 / 332
页数:3
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