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Effects of cardiac output on the onset of rocuronium-induced neuromuscular block in elderly patients

Journal of Anesthesia volume 32, pages 547–550 (2018)Cite this article

Abstract

Purpose

The aim of this study was to elucidate the relationship between the onset of rocuronium-induced neuromuscular block and arterial pressure-based cardiac output (CO) in elderly patients.

Methods

Forty elderly patients aged 65–83 years were enrolled in this study. After induction of anesthesia, contractions of the adductor pollicis muscle to ulnar nerve train-of-four stimulation were acceleromyographically evaluated and 1 mg/kg rocuronium was administered following CO measurement. The correlation between onset of rocuronium action and CO was analyzed.

Results

The mean [SD] CO reduced after induction of anesthesia from 5.1 [1.8] L/min to 3.8 [1.1] L/min. The onset time of rocuronium-induced neuromuscular block was 110.3 [23.9] s (range 60–165). There was a statistically significant inverse correlation between the onset time of rocuronium and CO [onset time (s) = − 13.2·CO + 159.7, R2 = 0.376].

Conclusions

In the elderly, CO influences the onset of action of rocuronium.

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Acknowledgements

Financial support: Departmental funding.

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Author notes

  1. Naoki Shiraishi and Mayu Aono are equally contributing first authors of this article.

Authors and Affiliations

  1. Department of Anesthesiology, School of Medicine, International University of Medical and Welfare, Tokyo, Japan

    Naoki Shiraishi

  2. Department of Anesthesiology, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi-Ku, Tokyo, 173-8610, Japan

    Mayu Aono, Yasuhito Kameyama, Mai Yamamoto, Osamu Kitajima & Takahiro Suzuki

Authors
  1. Naoki Shiraishi
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  2. Mayu Aono
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  3. Yasuhito Kameyama
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  4. Mai Yamamoto
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  5. Osamu Kitajima
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  6. Takahiro Suzuki
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Corresponding author

Correspondence to Takahiro Suzuki.

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Conflict of interest

Takahiro Suzuki has received speaker fees from MSD Inc., Japan.

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Shiraishi, N., Aono, M., Kameyama, Y. et al. Effects of cardiac output on the onset of rocuronium-induced neuromuscular block in elderly patients. J Anesth 32, 547–550 (2018). https://doi.org/10.1007/s00540-018-2510-z

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  • DOI: https://doi.org/10.1007/s00540-018-2510-z

Keywords

  • Rocuronium
  • Circulation
  • Elderly