Reversal of neuromuscular block. Heart rate changes with slow injection of neostigmine and atropine mixtures. 1984

K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee

The effect on heart rate of different rates of injection (10 seconds, 1, 3 and 5 minutes) of a fixed dose (neostigmine 2.5 mg and atropine 1.2 mg) and a weight-related dose (neostigmine 50 micrograms/kg and atropine 25 micrograms/kg) of neostigmine-atropine mixture given for the reversal of residual competitive neuromuscular block was studied in 196 healthy adult patients. In both series slow injection lessened and delayed the initial rise in heart rate. The subsequent fall in heart rate was less when the drugs were injected over 3 min compared with the 10 seconds and 1 minute injection groups but when given over 5 minutes there was a steady fall in heart rate, more so with the weight-related dose. It is recommended that a neostigmine and atropine mixture should be administered over 3 min.

UI MeSH Term Description Entries
D009388 Neostigmine A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier. Synstigmin,Neostigmine Bromide,Neostigmine Methylsulfate,Polstigmine,Proserine,Prostigmin,Prostigmine,Prozerin,Syntostigmine,Bromide, Neostigmine,Methylsulfate, Neostigmine
D009466 Neuromuscular Blocking Agents Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc. Neuromuscular Blocker,Neuromuscular Blocking Agent,Neuromuscular Blockers,Agent, Neuromuscular Blocking,Agents, Neuromuscular Blocking,Blocker, Neuromuscular,Blockers, Neuromuscular,Blocking Agent, Neuromuscular,Blocking Agents, Neuromuscular
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D005260 Female Females
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001285 Atropine An alkaloid, originally from Atropa belladonna, but found in other plants, mainly SOLANACEAE. Hyoscyamine is the 3(S)-endo isomer of atropine. AtroPen,Atropin Augenöl,Atropine Sulfate,Atropine Sulfate Anhydrous,Atropinol,Anhydrous, Atropine Sulfate,Augenöl, Atropin,Sulfate Anhydrous, Atropine,Sulfate, Atropine
D013514 Surgical Procedures, Operative Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.). Surgical Procedures,Ghost Surgery,Operative Procedures,Operative Surgical Procedure,Operative Surgical Procedures,Procedure, Operative Surgical,Procedures, Operative Surgical,Surgery, Ghost,Surgical Procedure, Operative,Operative Procedure,Procedure, Operative,Procedure, Surgical,Procedures, Operative,Procedures, Surgical,Surgical Procedure

Related Publications

K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
November 1984, Canadian Anaesthetists' Society journal,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
January 1977, Anesthesia and analgesia,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
November 1994, British journal of anaesthesia,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
April 1993, Anesthesiology,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
August 1977, British journal of anaesthesia,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
June 1986, Journal of the Royal Society of Medicine,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
February 1980, Middle East journal of anaesthesiology,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
February 2001, Middle East journal of anaesthesiology,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
June 2016, Middle East journal of anaesthesiology,
K W Harper, and I M Bali, and F M Gibson, and R Carlisle, and I H Black, and D J Grainger, and J W Dundee
January 1990, Research in veterinary science,
Copied contents to your clipboard!