Comparison of atracurium and vecuronium as muscle relaxants for ocular and orthopaedic interventions in dogs

Author(s):  
Rohit Kumar ◽  
Adarsh Kumar ◽  
Amit Kumar ◽  
S. P. Tyagi

Twenty adult dogs of either sex, divided into 2 equal groups were used for evaluation of atracurium (0.5 mg/kg IV) and vecuronium (0.1 mg/kg IV) in atropine-butorphanol-diazepam premedicated and propofol (till effect IV) induced dogs which were further maintained on isoflurane with controlled IPPV mode of the ventilator for positive pressure ventilation. A total of 13 ophthalmic and 7 orthopaedic interventions were done in both the groups. Pulmonary parameters were measured at baseline (pre-operative), just after induction and at 5, 15, 30 and 45 minutes after the administration of NMBA and the recovery parameters were recorded after weaning from the anaesthetic gas. The eyeballs deviated to the ventro-medial position after the induction with diazepam and propofol and resumed the central position within 30 seconds of atracurium or vecuronium administration thus, proving highly beneficial for the eye globe and corneal interventions. On a comparative basis, atracurium and vecuronium provided muscle relaxation for 40.1 ± 4.71 and 37.7 ± 1.01 minutes respectively. Uniform and pronounced muscle relaxation along with excellent sedation was found in both the groups. All pulmonary parameters remained within normal range. Following discontinuation of the isoflurane, the time taken to bear weight was 38.88 ± 1.45 and 39.63 ± 4.08 minutes in the atracurium and vecuronium groups respectively.

2002 ◽  
Vol 30 (5) ◽  
pp. 671-674 ◽  
Author(s):  
S. V. Gardner ◽  
N. R. Evans

This case describes the anaesthesia management of a patient with myasthenia gravis who required mastectomy with axillary lymph node clearance. After withholding medical therapy for the myasthenia preoperatively on the day of surgery, anaesthesia was maintained with halothane, nitrous oxide and a remifentanil infusion. Muscle relaxants were avoided, facilitated by the use of a ProSeal (Intravent, Orthofix, Maidenhead, United Kingdom) laryngeal mask airway for positive pressure ventilation. The ProSeal laryngeal mask airway is a new laryngeal mask device with a modified cuff and a drainage tube which has been shown to have advantages over older designs for use during positive pressure ventilation. The rationale for the management of this patient with myasthenia is discussed.


Author(s):  
Moon-Sook Kim ◽  
Mi-Hee Seo ◽  
Jin-Young Jung ◽  
Jinhyun Kim

The purpose of this study is to develop a simulation-based ventilator training program for general ward nurses and identify its effects. Quantitative data were collected from 29 nurses (intervention group: 15, control group: 14), of which seven were interviewed with focus groups to collect qualitative data. The quantitative results revealed significant differences in ventilator-related knowledge (p = 0.029) and self-efficacy (p = 0.026) between the intervention and control groups. Moreover, three themes were derived from meaningful statements in the qualitative data: understanding psychophysical discomfort of the patient while applying the ventilator; helping in ventilator care; and establishing a future ventilator training strategy. The findings confirmed that the non-invasive positive pressure ventilation (NPPV) simulation program is an effective method for improving the knowledge of ventilator nursing and self-efficacy and will be helpful in developing educational methods and strategies related to ventilator nursing for general ward nurses.


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