COMPARISON OF THE COMBINED EFFECTS OF ATROPINE AND NEOSTIGMINE WITH ATROPINE AND EDROPHONIUM ON THE LOWER ESOPHAGEAL SPHINCTER

被引:4
作者
HEIJKE, SAM [1 ]
SMITH, G [1 ]
KEY, A [1 ]
机构
[1] UNIV LEICESTER,LEICESTER ROYAL INFIRM,DEPT ANAESTHESIA,LEICESTER LE1 5WW,ENGLAND
关键词
ANTAGONISTS; NEUROMUSCULAR RELAXANTS; EDROPHONIUM; NEOSTIGMINE; GASTROINTESTINAL TRACT; ESOPHAGUS; COMPLICATIONS; REGURGITATION;
D O I
10.1111/j.1365-2044.1991.tb09708.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In two groups (n = 11) of healthy patients, we have measured gastric, lower oesophageal and barrier pressures before and after antagonism of neuromuscular block during anaesthesia with nitrous oxide and isoflurane. In one group, atropine 1.2 mg and neostigmine 2.5 mg were given and in the second group atropine 0.6 mg with edrophonium 1 mg/kg. One minute after administration of the reversal agents, there was a significantly greater reduction in barrier pressures in the neostigmine and atropine group than in the edrophonium and atropine group, but subsequently, there was no significant difference between the two groups. We conclude that there is no clinical difference between the two reversal mixtures in terms of the risk of regurgitation in the immediate period after reversal. Copyright © 1991, Wiley Blackwell. All rights reserved
引用
收藏
页码:628 / 631
页数:4
相关论文
共 22 条
[1]   THE HEART-RATE FOLLOWING EDROPHONIUM-ATROPINE AND EDROPHONIUM-GLYCOPYRROLATE MIXTURES [J].
AZAR, I ;
PHAM, AN ;
KARAMBELKAR, DJ ;
LEAR, E .
ANESTHESIOLOGY, 1983, 59 (02) :139-141
[2]  
BARTKOWSKI RR, 1987, ANESTH ANALG, V66, P594
[3]   REVERSAL OF PANCURONIUM WITH EDROPHONIUM [J].
BEVAN, DR .
ANAESTHESIA, 1979, 34 (07) :614-619
[4]   THE POTENCIES OF EDROPHONIUM AND NEOSTIGMINE AS ANTAGONISTS OF PANCURONIUM [J].
BREEN, PJ ;
DOHERTY, WG ;
DONATI, F ;
BEVAN, DR .
ANAESTHESIA, 1985, 40 (09) :844-847
[5]  
BROCKUTNE JG, 1978, ANESTH ANALG, V57, P171
[6]   THE LOWER ESOPHAGEAL SPHINCTER AND ANESTHESIA [J].
COTTON, BR ;
SMITH, G .
BRITISH JOURNAL OF ANAESTHESIA, 1984, 56 (01) :37-46
[7]   EFFECT OF ORAL DIAZEPAM ON LOWER ESOPHAGEAL SPHINCTER PRESSURE [J].
COTTON, BR ;
SMITH, G ;
FELL, D .
BRITISH JOURNAL OF ANAESTHESIA, 1981, 53 (11) :1147-1150
[8]   EVALUATION OF THE COMBINED EFFECTS OF GLYCOPYRROLATE AND NEOSTIGMINE ON THE LOWER ESOPHAGEAL SPHINCTER [J].
DERRINGTON, MC ;
HINDOCHA, N ;
SMITH, G .
BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (05) :545-547
[9]   DOSE-RESPONSE CURVES FOR EDROPHONIUM, NEOSTIGMINE, AND PYRIDOSTIGMINE AFTER PANCURONIUM AND D-TUBOCURARINE [J].
DONATI, F ;
MCCARROLL, SM ;
ANTZAKA, C ;
MCCREADY, D ;
BEVAN, DR .
ANESTHESIOLOGY, 1987, 66 (04) :471-476
[10]  
DONATI F, 1989, ANESTH ANALG, V68, P13