The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating

Abstract Background and purpose: Neuromuscular relaxants are one group of the important drugs in providing good condition for tracheal intubation and operation. Rapid intubation is needed in most situations. Also, most of non- depolarizing relaxants almost have long onset time. We compared the primi...

Full description

Bibliographic Details
Main Authors: S. Sanaie, M.D, ** N. Gharahdaghi, M.D., A. Mahmoodpoor, M.D, M. Parish, M.D. +.
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2007-01-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://www.mazums.ac.ir/files/onlineJournals_2176005=parish.pdf
_version_ 1818066773095743488
author S. Sanaie, M.D
** N. Gharahdaghi, M.D.
A. Mahmoodpoor, M.D
M. Parish, M.D. +.
author_facet S. Sanaie, M.D
** N. Gharahdaghi, M.D.
A. Mahmoodpoor, M.D
M. Parish, M.D. +.
author_sort S. Sanaie, M.D
collection DOAJ
description Abstract Background and purpose: Neuromuscular relaxants are one group of the important drugs in providing good condition for tracheal intubation and operation. Rapid intubation is needed in most situations. Also, most of non- depolarizing relaxants almost have long onset time. We compared the priming with pancrunium and atracurium in providing good and rapid relaxation for tracheal intubation.Materials and Methods: In this prospective study, 65 patients with ASA class I, II were randomized into two groups. Group A received pancrunium and group B received atracurium. Primimg dose was injected as 20% of total dose of relaxant. Twitching response was measured with peripheral nerve stimulator. Intubation was done when % 80 of the twitching response disappeared. The time of total disappearance of twitching response was also recorded.Results: The mean time for the injection of the first dose of relaxant until the time of intubation was 94.47 seconds in group A and 142.9 seconds in group B, which were significantly different (P<0/01). If intubation until the time of twitch response is detained, the time gap of group A will again be less than group B (P<0/01).Conclusion: In priming technique, the time of tracheal intubation with pancrunium is significantly less than atracurium. So, considering the patient's condition and the need for rapid relaxation, pancrunium could be is a better relaxant than atracurium.
first_indexed 2024-12-10T15:13:06Z
format Article
id doaj.art-1efa19bed12b4e73a4a4a101df66a22e
institution Directory Open Access Journal
issn 1735-9260
language English
last_indexed 2024-12-10T15:13:06Z
publishDate 2007-01-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-1efa19bed12b4e73a4a4a101df66a22e2022-12-22T01:43:52ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92602007-01-0117583742The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal IntubatingS. Sanaie, M.D** N. Gharahdaghi, M.D.A. Mahmoodpoor, M.DM. Parish, M.D. +.Abstract Background and purpose: Neuromuscular relaxants are one group of the important drugs in providing good condition for tracheal intubation and operation. Rapid intubation is needed in most situations. Also, most of non- depolarizing relaxants almost have long onset time. We compared the priming with pancrunium and atracurium in providing good and rapid relaxation for tracheal intubation.Materials and Methods: In this prospective study, 65 patients with ASA class I, II were randomized into two groups. Group A received pancrunium and group B received atracurium. Primimg dose was injected as 20% of total dose of relaxant. Twitching response was measured with peripheral nerve stimulator. Intubation was done when % 80 of the twitching response disappeared. The time of total disappearance of twitching response was also recorded.Results: The mean time for the injection of the first dose of relaxant until the time of intubation was 94.47 seconds in group A and 142.9 seconds in group B, which were significantly different (P<0/01). If intubation until the time of twitch response is detained, the time gap of group A will again be less than group B (P<0/01).Conclusion: In priming technique, the time of tracheal intubation with pancrunium is significantly less than atracurium. So, considering the patient's condition and the need for rapid relaxation, pancrunium could be is a better relaxant than atracurium.http://www.mazums.ac.ir/files/onlineJournals_2176005=parish.pdfPancruniumAtracuriumPrimingTracheal intubation
spellingShingle S. Sanaie, M.D
** N. Gharahdaghi, M.D.
A. Mahmoodpoor, M.D
M. Parish, M.D. +.
The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
Journal of Mazandaran University of Medical Sciences
Pancrunium
Atracurium
Priming
Tracheal intubation
title The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
title_full The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
title_fullStr The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
title_full_unstemmed The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
title_short The Comparison of Priming with Pancrunium and Atracurium in the Speed of Providing Adequate Neuromuscular Blockade for Tracheal Intubating
title_sort comparison of priming with pancrunium and atracurium in the speed of providing adequate neuromuscular blockade for tracheal intubating
topic Pancrunium
Atracurium
Priming
Tracheal intubation
url http://www.mazums.ac.ir/files/onlineJournals_2176005=parish.pdf
work_keys_str_mv AT ssanaiemd thecomparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT ngharahdaghimd thecomparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT amahmoodpoormd thecomparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT mparishmd thecomparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT ssanaiemd comparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT ngharahdaghimd comparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT amahmoodpoormd comparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating
AT mparishmd comparisonofprimingwithpancruniumandatracuriuminthespeedofprovidingadequateneuromuscularblockadefortrachealintubating