Comparison of cumulative and single bolus dose techniques for determining the potency of vecuronium

Br J Anaesth. 1985 Nov;57(11):1060-2. doi: 10.1093/bja/57.11.1060.

Abstract

The potency of vecuronium was determined using single bolus dose administrations of 10-50 micrograms kg-1 in 28 patients anaesthetized with thiopentone, nitrous oxide, oxygen and fentanyl. The results were compared with those previously obtained using a cumulative dose technique in a comparable group of 10 patients. The 50% and 95% blocking doses (ED50 and ED95) of vecuronium were found to be 23.1 and 39.6 micrograms kg-1, respectively. These were significantly lower than the 30.5 and 56.7 micrograms kg-1 obtained previously using the cumulative dose technique. We recommend the use of single bolus dose method of determining potency for relatively shorter-acting drugs like vecuronium.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Dose-Response Relationship, Drug
  • Humans
  • Injections, Intravenous
  • Neuromuscular Blocking Agents / administration & dosage
  • Neuromuscular Blocking Agents / pharmacology*
  • Pancuronium / administration & dosage
  • Pancuronium / analogs & derivatives*
  • Pancuronium / pharmacology
  • Therapeutic Equivalency
  • Vecuronium Bromide

Substances

  • Neuromuscular Blocking Agents
  • Vecuronium Bromide
  • Pancuronium