Monitoring of curarisation in patients with tetraparesis

Summary Neuromuscular blockade induced by pancuronium was monitored on the trapezius and abductor digiti minimi muscles in three patients with upper motor neurone lesions: one patient was hemiparetic and two were tetraparetic. A greater sensitivity to pancuronium was always observed on the trapezius...

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Bibliographic Details
Published in:Anaesthesia 1990-02, Vol.45 (2), p.128-131
Main Authors: FIACCHINO, F., BRICCHI, M., LASIO, G.
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Female
Fingers
General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation
Hemiplegia - physiopathology
Humans
Male
Medical sciences
Monitoring, Physiologic - methods
Motor Neurons - physiology
Muscle Contraction - drug effects
Neuromuscular Diseases - physiopathology
Neuromuscular Junction - physiopathology
Neuromuscular relaxants
Pancuronium - pharmacology
Quadriplegia - physiopathology
Shoulder
Synaptic Transmission - drug effects
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Summary:Summary Neuromuscular blockade induced by pancuronium was monitored on the trapezius and abductor digiti minimi muscles in three patients with upper motor neurone lesions: one patient was hemiparetic and two were tetraparetic. A greater sensitivity to pancuronium was always observed on the trapezius muscle. It is suggested that the assessment of curarisation is more reliable on proximal than on distal muscles if the patient's sensitivity to relaxants is expected to be generally low.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1990.tb14277.x