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British Journal of Anaesthesia, 1985, Vol. 57, No. 11 1049-1051
© 1985 The Board of Management and Trustees of the British Journal of Anaesthesia


research-article

EFFECT OF RENAL FAILURE ON LAUDANOSINE EXCRETION IN MAN

M. R. FAHEY, M.D.1, S. M. RUPP, M.D., C. CANFELL, M.S., D. M. FISHER, M.D., R. D. MILLER, M.D., M. SHARMA, M.D., K. CASTAGNOLI and P. J. HENNIS, M.D.

Departments of Anesthesia and Pharmacology, University of California San Francisco 94143.

1Address for correspondence: (M.R.F.), Department of Anesthesia, University of California, San Francisco, Ca 94143, U.S.A.

Patients with renal failure and undergoing a cadaver renal transplant were found to have plasma concentrations of laudanosine, following the administration of a single bolus dose of atracurium 0.5 mg kg-1, higher than those found in patients without renal failure. Since laudanosine is a known central nervous system stimulant in a variety of animal species, its actions should be investigated further in man, and particularly in patients with renal failure.


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