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British Journal of Anaesthesia, 1995, Vol. 74, No. 3 330-332
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia


other

Comparison of the haemodynamic effects of mivacurium and atracurium during fentanyl anaesthesia

P. B. LOAN, MRCP, FRCA, P. ELLIOTT, MD, FRCA, R. K. MIRAKHUR, MD, PHD, FRCA, H. F. BUNTING, FEARCSI, S. BHANUMURTHY, MD, FFARCSI and T. J. MCMURRAY, MD, FRCA

Department of Anaesthetics, Queen's University of Belfast, Whitla Medical Building 97 Lisburn Road, Belfast BT9 7BL
Department of Anaesthetics, Royal Hospitals Trust Belfast

Correspondence to R.K.M.

We have measured the haemodynamic effects of mivacurium 0.15 and 0.2 mg kg–1, and atracurium 0.5 mg kg–1 administered over 10–15 s in patients undergoing coronary artery bypass surgery under fentanyl anaesthesia. There were no significant haemodynamic changes in the atracurium group, other than a transient decrease in pulmonary arterial wedge pressure. Changes in heart rate were small in all three groups. Mivacurium 0.15 mg kg–1 produced changes of only small magnitude (12% decrease in mean arterial pressure and 16% decrease in systemic vascular resistance index) however, mivacurium 0.2 mg kg–1 produced a 25% reduction in mean arterial pressure, a 14% increase in cardiac index and a 35% decrease in systemic vascular resistance index. Erythema developed in two, three and seven patients after atracurium, mivacurium 0.15mgkg–1 and mivacurium 0.2 mg kg–1, respectively. One patient exhibited a 54% decrease in mean arterial pressure, generalized erythema and bronchospasm after mivacurium 0.2mg kg–1. The haemodynamic changes with mivacurium suggested histamine release. (Br. J. Anaesth. 1995; 74: 330–332)


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