Effect Of Ropivacaine Combined With Pancuronium On Neuromuscular Transmission And Effectiveness Of Neostigmine And 4-aminopyridine For Blockade Reversal: Experimental Study [efeito Da Associação Ropivacaina-pancurÔnio Na Transmissão Neuromuscular E Eficácia Da Neostigmine E 4-aminopiridina Na Reversão Do Bloqueio: Estudo Experimental]

dc.date2015
dc.date2016-06-03T20:14:57Z
dc.date2016-06-03T20:14:57Z
dc.date.accessioned2018-03-29T01:33:37Z
dc.date.available2018-03-29T01:33:37Z
dc.identifier
dc.identifierRevista Brasileira De Anestesiologia. Elsevier Editora Ltda, v. 65, n. 2, p. 136 - 140, 2015.
dc.identifier347094
dc.identifier10.1016/j.bjan.2013.10.020
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84922778660&partnerID=40&md5=7321d149c840e5b1c19da3017eb391cd
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/238305
dc.identifier2-s2.0-84922778660
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1304966
dc.descriptionBackground and objectives: The local anesthetic effects on neuromuscular junction and its influence on blockade produced by nondepolarizing neuromuscular blockers are still under-investigated; however, this interaction has been described in experimental studies and in humans. The aim of this study was to evaluate in vitro the interaction between ropivacaine and pancuronium, the influence on transmission and neuromuscular blockade, and the effectiveness of neostigmine and 4-aminopyridine to reverse the blockade. Methods: Rats were divided into groups (n=5) according to the study drug: ropivacaine (5μgmL-1); pancuronium (2μg.mL-1); ropivacaine+pancuronium. Neostigmine and 4-aminopyridine were used at concentrations of 2μgmL-1 and 20μgmL-1, respectively. The effects of ropivacaine on membrane potential and miniature end-plate potential, the amplitude of diaphragm responses before and 60minutes after the addition of ropivacaine (degree of neuromuscular blockade with pancuronium and with the association of pancuronium-ropivacaine), and the effectiveness of neostigmine and 4-aminopyridine on neuromuscular block reversal were evaluated. Results: Ropivacaine did not alter the amplitude of muscle response (the membrane potential), but decreased the frequency and amplitude of the miniature end-plate potential. Pancuronium blockade was potentiated by ropivacaine, and partially and fully reversed by neostigmine and 4-aminopyridine, respectively. Conclusions: Ropivacaine increased the neuromuscular block produced by pancuronium. The complete antagonism with 4-aminopyridine suggests presynaptic action of ropivacaine. © 2014 Sociedade Brasileira de Anestesiologia.
dc.description65
dc.description2
dc.description136
dc.description140
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dc.description
dc.description
dc.languagept
dc.publisherElsevier Editora Ltda
dc.relationRevista Brasileira de Anestesiologia
dc.rightsfechado
dc.sourceScopus
dc.titleEffect Of Ropivacaine Combined With Pancuronium On Neuromuscular Transmission And Effectiveness Of Neostigmine And 4-aminopyridine For Blockade Reversal: Experimental Study [efeito Da Associação Ropivacaina-pancurÔnio Na Transmissão Neuromuscular E Eficácia Da Neostigmine E 4-aminopiridina Na Reversão Do Bloqueio: Estudo Experimental]
dc.typeArtículos de revistas


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