Clinical observations on the neuromuscular blocking action of Org 9426, a new steroidal non-depolarizing agent.

Abstract:

:The neuromuscular blocking effects of Org 9426, the 2-morpholino, 16-allyl-pyrrolidino derivative of the 3-desacetoxy analogue of vecuronium have been investigated in anaesthetized patients. Based on data from a pilot study, two doses, 250 and 500 micrograms kg-1 (estimated as the ED90 and 2 x ED90, respectively) were chosen. Org 9426 appeared to be six to eight times less potent than vecuronium and showed a faster rate of development of neuromuscular block, with good to excellent intubation conditions within 60 s after administration of a dose of 500 micrograms kg-1. The duration of action and the recovery index appeared to be similar to those of vecuronium. Side effects were not noted. Org 9426 may have advantages over existing non-depolarizing neuromuscular blocking agents with respect to rate of development of good intubating conditions, and is stable in aqueous solutions.

journal_name

Br J Anaesth

authors

Wierda JM,de Wit AP,Kuizenga K,Agoston S

doi

10.1093/bja/64.4.521

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

521-3

issue

4

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)53446-7

journal_volume

64

pub_type

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