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British Journal of Anaesthesia, 1994, Vol. 72, No. 6 688-690
© 1994 The Board of Management and Trustees of the British Journal of Anaesthesia

other

Post-tetanic count and single twitch height at the onset of reflex movement after administration of vecuronium under different types of anaesthesia

Y. SAITOH, M.D., K. KANEDA, M.D., H. TOYOOKA, M.D. and K. AMAHA, M.D.

Department of Anaesthesiology and Critical Care Medicine, Faculty of Medicine, Tokyo Medical and Dental University 5-45 Yushima, 1-Chrome, Bunkyo-ku, Tokyo 113, Japan

We have studied post-tetanic count (PTC) and single twitch height at the onset of reflex movement to carinal stimulation after administration of vecuronium with five different types of anaesthesia. Seventy-five adult patients were allocated randomly to five groups of 15 patients each, to receive one of the following anaesthetics: neuroleptanaesthesia (fentanyl and droperidol) or 1 MAC of either halothane, isoflurane, enflurane or sevoflurane with 66% nitrous oxide in oxygen. During spontaneous recovery from vecuronium-induced neuromuscular block, the carina was stimulated with a suction catheter every 150 s. Single twitch heights at the onset of reflex movement were similar (2.0–2.7% of control values) between the five groups. In contrast, PTC at the onset of reflex movement to carinal stimulation differed (7.4–17.0) between groups.


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