2018, Number 3
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An Med Asoc Med Hosp ABC 2018; 63 (3)
Rocuronium speed of onset with the administration of ephedrine during the anesthetic induction
Lima LR, Pérez GA, Duarte CA, Gutiérrez VDH
Language: Spanish
References: 13
Page: 184-187
PDF size: 213.05 Kb.
ABSTRACT
Background: Rocuronium may produce prolonged muscle relaxation during the anesthetic induction; for this reason, its dose has been reduced with the use of ephedrine to increase its speed of onset and to improve the intubating conditions. The objective was to determine the speed of onset of rocuronium with the use of ephedrine.
Material and methods: A clinical, prospective, comparative test was conducted on patients undergoing elective surgery under general anesthesia in the Regional Hospital «Lic. Adolfo Lopez Mateos». The sample was divided into two groups, both received rocuronium bromide 600 µg•kg
-1 during the anesthetic induction. One group also received ephedrine plus 75 µg•kg
-1 before the induction; the control group was given 5 mL saline 0.9%. The information was analyzed using the SPSS 17.0 software. To compare groups, the
Student’s test was applied.
Results: We found that the mean blood pressure and heart rate increased in the ephedrine group immediately before and after laryngoscopy. The speed of action of rocuronium was significantly higher (p ‹ 0.05).
Conclusions: The use of ephedrine is related to a faster speed of onset of rocuronium.
REFERENCES
Kuipers JA, Boer F, Olofsen E, Bovill JG, Burm AG. Recirculatory pharmacokinetics and pharmacodynamics of rocuronium in patients: the influence of cardiac output. Anesthesiology. 2001; 94 (1): 47-55.
Sluga M, Ummenhofer W, Studer W, Siegemund M, Marsch SC. Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases. Anesth Analg. 2005; 101 (5): 1356-1361.
Martyn JA, Richtsfeld M. Succinylcholine-induced hyperkalemia in acquired pathologic states: etiologic factors and molecular mechanisms. Anesthesiology. 2006; 104 (1): 158-169.
Hartley EL, Alcock R. Rocuronium versus suxamethonium: a survey of first-line muscle relaxant use in UK prehospital rapid sequence induction. Prehosp Disaster Med. 2015; 30 (2): 184-186.
Dong J, Gao L, Lu W, Xu Z, Zheng J. Pharmacological interventions for acceleration of the onset time of rocuronium: a meta-analysis. PLoS One. 2014; 9 (12): e114231.
Gopalakrishna MD, Krishna HM, Shenoy UK. The effect of ephedrine on intubating conditions and haemodynamics during rapid tracheal intubation using propofol and rocuronium. Br J Anaesth. 2007; 99 (2): 191-194.
Sun R, Tian JH, Li L, Tian HL, Jia WQ, Yang KH et al. Effect of ephedrine on intubating conditions created by propofol and rocuronium: a meta-analysis. J Evid Based Med. 2012; 5 (4): 209-215.
Szmuk P, Ezri T, Chelly JE, Katz J. The onset time of rocuronium is slowed by esmolol and accelerated by ephedrine. Anesth Analg. 2000; 90 (5): 1217-1219.
Muñoz HR, González AG, Dagnino JA, González JA, Pérez AE. The effect of ephedrine on the onset time of rocuronium. Anesth Analg. 1997; 85 (2): 437-440.
Han DW, Chun DH, Kweon TD, Shin YS. Significance of the injection timing of ephedrine to reduce the onset time of rocuronium. Anaesthesia. 2008; 63 (8): 856-860.
Na HS, Hwang JW, Park SH, Oh AY, Park HP, Jeon YT et al. Drug-administration sequence of target-controlled propofol and remifentanil influences the onset of rocuronium. A double-blind, randomized trial. Acta Anaesthesiol Scand. 2012; 56 (5): 558-564.
Mencke T, Jacobs RM, Machmueller S, Sauer M, Heidecke C, Kallert A et al. Intubating conditions and side effects of propofol, remifentanil and sevoflurane compared with propofol, remifentanil and rocuronium: a randomised, prospective, clinical trial. BMC Anesthesiol. 2014; 14: 39.
Belyamani L, Azendour H, Elhassouni A, Zidouh S, Atmani M, Kamili ND. Effect of ephedrine on the intubation conditions using rocuronium versus succinylcholine. Ann Fr Anesth Reanim. 2008; 27 (4): 292-296.