A close relationship between post-tetanic twitch and train-of-four responses during neuromuscular blockade by vecuronium

Journal of Anesthesia
H ToyookaK Amaha

Abstract

The relationship between post-tetanic twitch (PTT) and train-of-four (TOF) responses after intravenous administration of vecuronium were studied using EMG in 20 patients under nitrous oxide and enflurane anesthesia. After the initial dose (0.2 mg.kg(-1)) of vecuronium, the detectable first twitch of PTT (PTT(1)) always preceded that of TOF (TOF(1)) with the mean time interval of 10.7 +/- 2.6 min. The post-tetanic count (PTC) which coincided with the first appearance of TOF(1) was 9.4 +/- 2.6. After the appearance of TOF(1), the magnitude of TOF(1) was almost identical to that of PTC(10) until full recovery from neuromuscular blockade was observed, whether the supplemental doses of vecuronium (0.03-0.04 mg.kg(-1) i.v.) were administered or not. The magnitude of TOF(2) was slightly lower than that of PTC(20). These results suggest that there is a close relationship between these two types of response, and by evaluating not only PTC but also the magnitude of each PTT, the recovery of TOF responses can be predicted and its extent be estimated fairly accurately.

References

Nov 1, 1986·Anesthesiology·T BakerH E Lowndes
Nov 1, 1988·British Journal of Anaesthesia·S A Ridley, N Braude
Nov 1, 1988·British Journal of Anaesthesia·C L Gwinnutt, G Meakin
Nov 1, 1970·British Journal of Anaesthesia·H H AliC Gray
Nov 1, 1980·British Journal of Anaesthesia·N E WilliamsT N Calvey

Citations

Dec 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Y SaitohK Amaha
Feb 1, 1996·International Journal of Clinical Monitoring and Computing·J SmansJ A Blom

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

The Tendon Seed Network

Tendons are rich in the extracellular matrix and are abundant throughout the body providing essential roles including structure and mobility. The transcriptome of tendons is being compiled to understand the micro-anatomical functioning of tendons. Discover the latest research pertaining to the Tendon Seed Network here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Incretins

Incretins are metabolic hormones that stimulate a decrease in glucose levels in the blood and they have been implicated in glycemic regulation in the remission phase of type 1 diabetes. Here is the latest research.

Chromatin Regulation and Circadian Clocks

The circadian clock plays an important role in regulating transcriptional dynamics through changes in chromatin folding and remodelling. Discover the latest research on Chromatin Regulation and Circadian Clocks here.

Long COVID-19

“Long Covid-19” describes illness in patients who are reporting long-lasting effects of the SARS-CoV-19 infection, often long after they have recovered from acute Covid-19. Ongoing health issues often reported include low exercise tolerance and breathing difficulties, chronic tiredness, and mental health problems such as post-traumatic stress disorder and depression. This feed follows the latest research into Long Covid.

Spatio-Temporal Regulation of DNA Repair

DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.