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文章基本信息

  • 标题:Effects of High-Dose Atracurium on the Cardiovascular Response and Histamine Release during Induction of Anesthesia
  • 作者:Baik, Hee Jung ; Lee, Su Nam ; Kim, Kiu Sam
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:1995
  • 卷号:29
  • 期号:2
  • 页码:238-243
  • DOI:10.4097/kjae.1995.29.2.238
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    To compare the effects of atracurium, 0.75 mg/kg, on the mean arterial pressures, heart rates and plasma histamine levels under 2%-enflurane inhalation with mask, 24 patients were allocated randomly into two groups; one(Group I, n=12) which atracurium was administered with rapid bolus injection for 5 seconds and the other(Group II, n=12) with the slow injection for 75 seconds. In both groups, there are the most significant decreases and the recovery in mean arterial pressure 1~2 min and 5 min after atracurium, respectively, Group I showed a significant decrease of mean arterial pressure about 10% more than Group II. In heart rate, there are the significant decreases gradually to 87~88% of control 5 min after atracurium in both graups except the only significant increase(104%) 1 min after atracurium in Group I. And Group I showed a significant increase(200%) in plasma histamine concentration (p< 0.05) 2 min after injection than before, but Group II did no significant change. In conclusion, the slow injection of atracurium over 75s during induction of anesthesia can attenuate the histamine-induced cardiovascular response.

  • 关键词:atracurium; Cardiovascular response; Histamine release
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