Zusammenfassung
Muskelrelaxantien vom nichtdepolarisierenden Typ werden heute allgemein in der Anaesthesie verwendet. In der Literatur finden sich klinische Berichte sowohl über eine Verlängerung der Wirkung von Curare bei Niereninsuffizienz (RIORDAN et al. 1971) und Pancuronium beim Ileus (BAIRD 1970, LÜBKE 1971) als auch über die Unwirksamkeit von Curare und Pancuronium bei Lebererkrankungen (BAIRD 1970, DINNICK 1958, DUNDEE et al. 1953, LÜBKE 1971 und MEYERBURGDORFF 1970). Veränderungen im Säurebasenhaushalt sind bei diesen Erkrankungen häufig (WELT 1965). Diese Unterschiede in der Qualität und Dauer der Relaxantienwirkung bei verschiedenen Patienten können nicht durch die Pharmakokinetik und -dynamik erklärt werden.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Albert, A.: Ionization pH and biological activity. Pharmacol. Rev. 4, 136 (1952).
Baird, W. L. M.: Clinical experience with pancuronium. Proc. Roy. Soc. Med. 63, 697 (1970).
Baraka, A.: The influence of carbon dioxide on the neuromuscular block caused by tubocurarine in human subject.
Baraka, A.: Effect of carbon dioxide on gallamine and suxamethonium in man. Brit. J. Anaesth. 39, 786 (1967).
Bennett, E. J., Daughety, M. J., Bowyer, D., Stephen, C. R.: Pancuronium bromide. Experiences in 100 pediatric patients. Anest. Analg. 50, 798 (1971).
Berliner, R. W., Kennedy, T. J., Orloff, J.: Relationship between acidification of the urine and potassium metabolism. Amer. J. Med. 11, 274 (1951).
Bonta, I. L., Buckett, W. R.: Pharmacological comparison between pancuronium bromide and d-tubocurarine. Acta physiol. Pharmacol, neerl. 15, 392 (1969).
Buckett, W. R., Marjoribanks, C. E. B., Marwid, F. A., Morton, M. B.: The pharmacology of pancuronium bromide (Org Na 97) a new potent steroid neuromuscular blocking agent. Brit. J. Pharmacol. 32, 671 (1968).
Bülbring, E.: Observations on the isolated phrenic nerphe diaphragm of the rat. Brit. J. Pharmacol. Chemotherap. 1, 38 (1946).
Cavallito, C. J.: Structure-action relationship throwing light on the receptor. Ciba Foundation Study Group Nr. 12 (1962).
Creese, R.: Bicarbonate ion and striated muscle. J. Physiol. 110, 450 (1949).
Crul, J. F.: Studies on new steroid relaxants. Exc. Med. Int. Congr. Series 200, 418 (1970).
Dann, W. L.: The effects of different levels of ventilation on the action of pancuronium in man. Brit. J. Anaesth. 43, 959 (1971).
Dinnick, O. P.: Anaesthesia and disease in: Modern trends in Anaesthesia edit, by Evans, F. T., Gray, T. C.: S. 257. London: Butterworth and Co. 1958.
Dundee, J. W., Gray, T.: Resistance to d-tubocurarine chloride in the presence of liver damage. Lancet 2, 16 (1953).
Feldman, S. A.: Effect of changes in electrolytes, hydration and pH upon the reactions to muscle relaxants. Brit. J. Anaesth. 35, 546 (1963).
Foldes, F. F.: Skeletal muscle relaxants. Pharmacology for Physicians 4, 1 (1970).
Ghoneim, M. M., Long, J. P.: The interaction between magnesium and other neuromuscular blocking agents. Anesthesiology 32, 23 (1970).
Ghoneim, M. M.: Drug interaction in anaesthesia. A review Canad. Anaesth. Soc. J. J. 18, 353 (1971).
Holmes, P. E. B., Jenden, D. J., Taylor, D. B.: The analysis of the mode of action of curare on neuromuscular transmission. The effect of temperature changes. J. Pharmacol. Exp. Therap. 103, 382 (1951).
Kalow, W.: Influence of pH on ionization and biological activity of d-tubocurarine. J. Pharmacol. Exp. Therap. 110, 443 (1954).
Katz, R. L., Wolf, C. E.: Neuromuscular and electromyographic studies in man: effects of hyperventilation, carbon dioxide inhalation and d-tubocurarine. Anesthesiology 25, 781 (1964).
Koelle, G. B.: Neuromuscular blocking agents. Chapt. 28, 596 (1965). In: Goodman, L. S., Gilman, A.: The pharmacological basis of therapeutics. 3. Edit, by Macmillan Company New York, London, Toronto.
Lübke, P., Bihler, K.: Klinische Erfahrungen mit Pancuroniumbromid (Pancuronium, Organon) bei urologischen Eingriffen z. prakt. Anaesth. 6, 161 (1971).
Lübke, P., Dannemann, H. J.: über den Einfluß von Pancuroniumbromide auf das Herz-Kreislaufverbalten in Neuroleptanalgesie. Anaesthesist 20, 402 (1971).
Lund, I., Stovner, J.: Dose-response curves for tubocurarine, alcuronium and pancuronium. Acta anaesth. Scand. Suppl. 37, 238 (1970).
Meyer-Burgdorff, C., Gerbig, W. R.: Erfahrungen mit dem neuen Muskelrelaxans Pancuroniumbromid. Anaesthesist 19, 250 (1970).
Norman, J., Katz, R. L., Seed, R. F.: The neuromuscular blocking action of pancuronium in man during anaesthesia. Brit. J. Anaesth. 42, 702 (1970).
Payne, J. P.: Influence of carbon dioxide on neuromuscular blocking activity of relaxant drugs in cat. Brit. J. Anaesth. 30, 206 (1958).
Riordan, D. D., Gilbertson, A. A.: Prolonged curarisation in a patient with renal failure. Brit. J. Anaesth. 43, 506 (1971).
Speight, I. M., Avery, G. S.: Pancuronium bromide. A review of its pharmacological properties and clinical application. Drugs 163 (1972).
Stovner, J., Lund, I.: The muscle relaxants and their antagonists. Brit. J. Anaesth. 42, 235 (1970).
Stovner, J., Theodersen, L., Bjelke, E.: Sensitivity to tubocurarine and alcuronium with special reference to plasma protein pattern. Brit. J. Anaesth. 43, 385 (1971 a).
Stovner, J., Theodersen, L., Bjelke, E.: Sensitivity to gallamine and pancuronium with special reference to serum proteins. Brit. J. Anaesth. 43, 953 (1971 b).
Taylor, D. B.: Influence of curare on the uptake and release of a neuromuscular blocking agent labelled with I131 ciba Foundation Study Group Nr. 12 (1962).
Truniger, B.: Wasser- und Elektrolythaushalt. 3. Auflage. Stuttgart: Georg Thieme Verlag 1971.
Walts, L. F., Lebowitz, M., Dillon, J. B.: The effects of ventilation on the action of tubocurarine and gallamine. Brit. J. Anaesth 38, 845 (1967).
Welt, L. G.: Agents affecting volume and composition of body fluids Chapt..36, 763 (1 965). In: Goodman, L. S., Gilman, A.: The pharma cological basis of therapeutics. 3. Edit, by Macmillan Company New York, London, Toronto.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1975 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Wüst, H.J., Ottermann, U., Lennartz, H. (1975). Vergleichende Untersuchungen der Dosis-Wirkungskurven verschiedener Muskelrelaxantien. In: Bergmann, H., Blauhut, B. (eds) Intensivtherapie. Anaesthesiology and Resuscitation Anaesthesiologie und Wiederbelebung Anesthésiologie et Réanimation, vol 94. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66246-1_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-66246-1_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-07479-3
Online ISBN: 978-3-642-66246-1
eBook Packages: Springer Book Archive