Abstract
Atracurium and vecuronium marked a first revolution in the daily practice of anesthesia in the mid 1980s, paving the way for two distinct approaches to research and practice; the first was slightly more innovative; it was guided by the Wellcome Foundation, later Glaxo Wellcome, which explored the class of benzylisochinolines compounds, characterized by spontaneous degradation via Hoffman reaction (atracurium first and cisatracurium lately) or degradation by plasma enzymes, like pseudocholinesterase, with mivacurium an outstanding example of this class.
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References
Savarese JJ, Ali HH, Basta SJ, et al (1988) The clinical neuromuscular pharmacology of mi-vacurium chloride (BW B1090U): a shortacting nondepolarizing ester neuromuscular blocking drug. Anesthesiology 68: 723–732
Cook RD, Stiller RL, Weakly JN et al (1989) In vitro metabolism of mivacurium chloride (BW 1090U) and succinylcholine. Anesth Analg 68: 452–456
Lacroix M, Donati F, Varin F (1997) Pharmacokinetics of mivacurium isomers and their metabolites in healthy volunteers after intravenous bolus administration. Anesthesiology 86: 322–330
Lien CA, Belmont MR, Abalos A et al (1999) The nature of spontaneous recovery from mi-vacurium-induced neuromuscular block. Anesth Analg 88: 648–653
Lien CA, Schmith VD, Embree PB et al (1994) The pharmacokinetics and pharmacodynamics of the stereoisomers of mivacurium in patients receiving nitrous oxide/opioid/barbiturate anaesthesia. Anaesthesiology 80: 1296–1302
Head-Rapson AG, Devlin JC, Parker CIR et al (1994) Pharmacokinetics of the three isomers of mivacurium and pharmacodynamics of the chiral mixture in hepatic cirrhosis. Br J Anaesth 73: 613–618
Ali HH, Savarese JJ, Embree PB et al (1988) Clinical pharmacology of mivacurium chloride (BW B1090U) infusion: comparison with vecuronium and atracurium. Br J Anaesth 61: 541–546
Hart PS, McCarthy GJ, Brown R et al (1995) The effect of plasma Cholinesterase activity on mivacurium infusion rates. Anesth Analg 80: 760–763
Kao YJ, Le N (1996) The reversal of profound mivacurium induced neuromuscular blockade. Can J Anaesth 43: 1128–1133
Hart PS, Wright PMC, Brown R et al (1995) Edrophonium increases mivacurium concentrations during constant mivacurium infusion, and large doses minimally antagonize paralysis. Anesthesiology 82: 912–918
Szenohradszky J, Lau M, Brown R et al (1995) The effect of neostigmine on twitch tension and muscle relaxant concentration during infusion of mivacurium or vecuromum. Anesthesiology 83: 83–87
Fleming NW, Lewis BK (1994) Cholinesterase inhibitors do not prolong neuromuscular block produced by mivacurium. Br J Anaesth 73: 241–243
Kopman AF, Mallhi MU, Justo MD et al (1993) Antagonism of mivacurium-induced neuromuscular blockade in human, edrophonium dose requirements at threshold train-of-four: Count of four. Anesthesiology 81: 1394–1400
Brandom BW, Taiwo OO, Woelfel SK et al (1996) Spontaneous versus edrophonium-induced recovery from paralysis with mivacurium. Anesth Analg 82: 999–1002
Bevan JC, Tousignant C, Stephenson C et al (1996) Dose responses of neostigmine and edrophonium as antagonists of mivacurium adults and children. Anesthesiology 84: 354–361
Devcic A, Munshi CA, Gandhi SK et al (1995) Antagonism of mivacurium neuromuscular block: neostigmine versus edrophonium. Anesth Analg 81: 1005–1009
Baurain MI, Dernovoi BS, d’Hollander AA et al (1994) A comparison of neostigmine-in-duced recovery with spontaneous recovery from mivacurium-induced neuromuscular block. Br J Anaesth 73: 791–794
Naguib M, Abdulatif M, Al-Ghamdi A et al (1993) Dose-response relationships for edrophonium and neostigmine antagonism mivacurium-induced neuromuscular block. Br J Anaesth 71: 709–714
Naguib M, Samarkandi AH, Bakhamees HS (1995) Histamine-release haemodynamic changes produced by rocuronium, vecuronium, mivacurium, atracurium, and tubocurarine. Br J Anaesth 75: 588–592
Wierda JMKH, van den Broek L, Proost JH et al (1993) Time course of action of endotracheal intubating conditions of ORG 9487, a new short-acting steroidal muscle relaxant; a comparison with succinylcholine. Anesth Analg 77: 579–584
van den Broek L, Wierda JMKH (1994) Pharmacodynamics and pharmacokinetics of an infusion of ORG 9487, a new short-acting steroidal neuromuscular blocking agent. Br J Anaesth 73: 331–335
Kahwaji R, Bevan DR, Bikhazi G et al (1997) Dose ranging study in younger adults and elderly patients of ORG 9487, a new rapid onset, short duration muscle relaxant. Anesth Analg 84: 1011–1018
Schiere S, Proost JH, Schuringa M et al (1999) Pharmacokinetics and pharmacokinetic-dy-namic relationship between rapacuronium (ORG 9487) and its desacetyl metabolite (ORG 9488). Anesth Analg 88: 640–647
Deepika K, Keenan CA, Bikhazi GB et al (2000) Comparative study of recovery parameters of rapacuronium bromide after early and late reversal. Anesth Analg 90: S399
Bartkowski R, Witkowski TA, Epstein RH (2000) Recovery from rapacuronium, early vs. late reversal. Anesth Analg 90: s389
Kopman AF (1989) Pancuronium, gallamine, and d-tubocurarine compared: is speed of onset inversely related to drug potency? Anesthesiology 70: 915–920
Wright PMC, Brown R, Lau M et al (1999) A pharmacodynamic explanation for the rapid onset/offset of rapacuronium bromide. Anesthesiology 90: 16–25
Kaplan RF, Fletcher JE, Hannallah R et al (1996) The ED 50 of ORG 9487 in infants and childen. Anesthesiology 85: A1059
Kaplan RF, Fletcher JE, Hannallah RS et al (1999) The potency (ED 50) and cardiovascular effects of rapacuronium (DRG 9487) during narcotic-nitrous oxide-propofol anaesthesia in neonates, infants and children. Anesth Analg 89: 1172–1176
Levy JH, Pitts M, Thanopoulos A et al (1999) The effects of rapacuronium on histamine release and haemodynamics in adult patients undergoing general anaesthesia. Anesth Analg 89: 290–295
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Melloni, C. (2001). Advances in Clinical Pharmacology of the Muscle Relaxants. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2903-3_34
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DOI: https://doi.org/10.1007/978-88-470-2903-3_34
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0136-7
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