Volume 16, Number 3, 219-222, DOI: 10.1023/A:1009964305762

The Relationship Between Rate of Administration of an Intubating Dose of Rocuronium and Time to 50% and 90% Block at the Adductor Pollicis Muscle

A. De Haes, D. J. Eleveld and J. M. K. H. Wierda

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Abstract

Objective.To determine the relationship between the rate ofrocuronium injection and the onset time of neuromuscular block. Methods.After intravenous induction, 60 female patients (ASA I–II) wereassigned randomly into 3 groups for rocuronium administration within1–15, 15–30 or 30–60 seconds. Acceleromyography of the thumbwas performed using train-of-four (TOF) stimulation. Times to 50% and 90%twitch depression of the first twitch of the TOF stimulation (T1) wererecorded. Results.Injection time significantly influences time to 50%relaxation, but not time to 90% relaxation. Body mass index is negativelycorrelated with time to 50% and 90% relaxation. Conclusions.Weconclude that rate of injection influences only the initial phase ofdevelopment of the block and that slower injection times do not significantlyaffect time to 90% relaxation at the adductor pollicis muscle.

Neuromuscular relaxants - rocuronium - kinetics - distribution

This revised version was published online in July 2006 with corrections to the Cover Date.

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