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• W2114060818 abstract "(1) To compare the dose-response relations of rocuronium and vecuronium in healthy adult patients anesthetized with nitrous oxide-oxygen-fentanyl-thiopental; and (2) to evaluate the time-course of action of two drugs following equipotent doses.Prospective, randomized, clinical comparison.Operating room, Plastic Surgery Hospital of the Chinese Academy of Medical Sciences and Peking Union Medical College.60 ASA physical status I patients, aged 17-51 years, scheduled for elective plastic surgery.All patients were randomly assigned to either the rocuronium or vecuronium group. General anesthesia was induced with thiopental 4 to 6 mg/kg and fentanyl 2 to 4 micrograms/kg intravenously (i.v.), and maintained with 60% nitrous oxide (N2O) in oxygen. Further increments of thiopental or fentanyl were given as required. The dose-response relations of rocuronium and vecuronium were determined by the cumulative dose-response technique.Neuromuscular function was assessed mechanomyographically with train-of-four (TOF) stimulation at the wrist every 12 seconds. The percentage depression of first twitch (T1) was used as the study parameter. The cumulative dose-response curve of vecuronium was shifted to the left in a parallel fashion compared with that of rocuronium. As assessed by linear regression, the potency ratio of vecuronium: rocuronium was 1:7.2. There were significant differences in the ED50, ED90, and ED95 between the two drugs. After i.v. administration of equipotent doses of both drugs (2 x ED90), the duration of peak effect, clinical duration, recovery index, and total duration were not significantly different between the two drugs.Compared with vecuronium, rocuronium is a low-potency, nondepolarizing relaxant, and its neuromuscular blocking potency is approximately 15% that of vecuronium in adult patients anesthetized with N2O and fentanyl. Following equipotent doses, the time-course of recovery for rocuronium is similar to that of vecuronium." @default.
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• W2114060818 date "1998-08-01" @default.
• W2114060818 modified "2023-09-26" @default.
• W2114060818 title "A comparative study of the dose-response and time course of action of rocuronium and vecuronium in anesthetized adult patients" @default.
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• W2114060818 doi "https://doi.org/10.1016/s0952-8180(98)00056-7" @default.
• W2114060818 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9702623" @default.
• W2114060818 hasPublicationYear "1998" @default.
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