Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/235326
Type: Artigo de periódico
Title: Effect Of 50% Enantiomeric Excess Bupivacaine Mixture Combined With Pancuronium On Neuromuscular Transmission In Rat Phrenic Nerve-diaphragm Preparation; A Pilot Study.
Author: de Assunção Braga, Angelica de Fátima
Carvalho, Vanessa Henriques
da Silva Braga, Franklin Sarmento
Potério, Gloria Maria Braga
Santos, Filipe Nadir Caparica
Junqueira, Fernando Eduardo Féres
Abstract: Local anaesthetics are drugs that are widely used in clinical practice. However, the effects of these drugs on the neuromuscular junction and their influence on the blockade produced by non-depolarising neuromuscular blocking drugs are still under investigation. The aim of this study was to evaluate, in vitro, the influence of a 50% enantiomeric excess bupivacaine mixture on neuromuscular transmission and neuromuscular block produced by pancuronium. Rats were distributed into three groups (n = 5) according to the drug studied namely, 50% enantiomeric excess bupivacaine mixture (5 μg/mL); pancuronium (2 μg/mL); 50% enantiomeric excess bupivacaine mixture + pancuronium. The following parameters were evaluated: (1) Effects of a 50% enantiomeric excess bupivacaine mixture on membrane potential (MP) and miniature endplate potentials (MEPPs); (2) amplitude of diaphragmatic response before and 60 min after the addition of a 50% enantiomeric excess bupivacaine mixture; the degree of neuromuscular block with pancuronium and pancuronium combined with a 50% enantiomeric excess bupivacaine mixture. A 50% enantiomeric excess bupivacaine mixture did not alter the amplitude of muscle response (MP) but decreased the frequency and amplitude of MEPP. The block produced by pancuronium was potentiated by a 50% enantiomeric excess bupivacaine mixture. A 50% enantiomeric excess bupivacaine mixture used alone did not affect neuromuscular transmission, but potentiated the neuromuscular block produced by pancuronium. No action was shown on the muscle fibre, and alterations on MEPPs demonstrated a presynaptic action.
Subject: 50% Enantiomeric Excess Bupivacaine Mixture
Animals
Local Anaesthetics
Neuromuscular Blockers
Non-depolarising
Pancuronium
Rats
Citation: Indian Journal Of Anaesthesia. v. 59, n. 11, p. 701-705, 2015-Nov.
Rights: aberto
Identifier DOI: 10.4103/0019-5049.170019
Address: http://www.ijaweb.org/downloadpdf.asp?issn=0019-5049;year=2015;volume=59;issue=11;spage=701;epage=705;aulast=de;type=2
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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