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Anwendung von kompetitiven Muskelrelaxanzien

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50 Jahre Muskelrelaxanzien
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Zusammenfassung

Vor 50 Jahren haben Harold Griffith und Enid Johnson erstmals ein Curarepräparat zur intraoperativen Muskelrelaxation eingesetzt. Die Autoren berichten über 25 erfolgreiche Operationen in flacher Cyclopropannarkose und Curarisierung. Das Relaxans, so heißt es euphorisch, sei frei von Nebenwirkungen gewesen. Eine neue Medikamentengruppe hatte Zugang zur Anästhesie gefunden. Muskelrelaxation im Abdominalbereich bedurfte künftig nicht mehr extrem hoher (z. T. lebensgefahrlicher) Dosen von Inhalationsanasthetika. Sie konnte bei flacher Allgemeinnarkose durch Gabe von Relaxanzien herbeigeführt werden. Das Prinzip der Komponentennarkose war entdeckt.

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Literatur

  1. Baraka A, Noueihed R, Sinno H, Wakid N, Agoston S (1983) Succinylcholine - vecuronium sequence for cesarean section. Anesth Analg 62: 909–913

    Article  PubMed  CAS  Google Scholar 

  2. Buzello W, Krieg N, Brobmann GF (1982) Neostigmin und Insuffizienz intestinaler Anastomosen. Anästh Intensivther Notfallmed 17: 81–85

    Article  PubMed  CAS  Google Scholar 

  3. Buzello W, Krieg N, Schlickewei A (1982) Hazards of neostigmine in patients with neuromuscular disorders. Br J Anaesth 54: 529–534

    Article  PubMed  CAS  Google Scholar 

  4. Buzello W, Schluermann D, Schindler M et al. (1985) Hypothermic cardiopulmonary bypass and neuromuscular blockade by pancuronium and vecuronium. Anesthesiology 62: 201–204

    Article  PubMed  CAS  Google Scholar 

  5. Casson WR, Jones RM (1986) Vecuronium induced neuromuscular blockade. The effect of increasing dose on speed of onset. Anaesthesia 41:354–357

    Article  PubMed  CAS  Google Scholar 

  6. Dailey PA, Fisher DM, Shnider SM, Baysinger CL, Shinohara Y, Miller RD, Abboud TK, Kim KC (1984) Pharmacokinetics, placental transfer, and neonatal effects of vecuronium and pancuronium administered during cesarean section. Anesthesiology 60: 569–574

    Article  PubMed  CAS  Google Scholar 

  7. Denny NM, Keenschaw JD (1986) Vecuronium and atracurium infusions during hypothermic cardiopulmonary bypass. Anaesthesia 41: 919–922

    Article  PubMed  CAS  Google Scholar 

  8. Eriksson LI, Staun P, Cederholm I, Lennmarken C, Löftström JB (1988) Experience with vecuronium during long-lasting surgery. Acta Anaesthesiol Scand 32: 619–622

    Article  PubMed  CAS  Google Scholar 

  9. Foldes FF (1984) Rapid tracheal intubation with nondepolarizing neuromuscular blocking drugs: The priming principle. Br J Anaesth 55: 5–11

    Google Scholar 

  10. Funk DI, Crul JF, Pol FN van der (1980) Effects of changes in acid base balance on neuromuscular blockade produced by ORG NC 45. Acta Anaesthesiol Scand 24: 119–124

    Article  PubMed  CAS  Google Scholar 

  11. Griffith HR, Johnson GE (1942) The use of curare in general anesthesia. Anesthesiology 3: 418–420

    Article  CAS  Google Scholar 

  12. Hughes R, Chappie DJ (1976) Effects of non-depolarizing neuromuscular blocking agents on autonomic mechanisms in the cat. Br J Anaesth, 48: 59

    Article  PubMed  CAS  Google Scholar 

  13. Johansen SH, Jorgensen M, Molbeck S (1964) Effect of tubocurarine on respiratory and nonrespiratory muscle power in man. J Appl Physiol 19: 990

    PubMed  CAS  Google Scholar 

  14. Krieg N (1985) Pharmakodynamische Untersuchungen mit Vecuronium. Anaesthesist 34

    Google Scholar 

  15. Mayrhofer O (1959) Die Wirksamkeit von d-Tubocurarin zur Verhütung von Muskelschmerzen nach Succinylcholin. Anaesthesist 8: 313–315

    CAS  Google Scholar 

  16. Miller RD, Savarese J J (1986) Pharmacology of muscle relaxants and their antagonists. In: Miller RD (ed) Anesthesia, 2nd edn. Churchill Livingstone, New York Edinburgh London Melbourne, p911

    Google Scholar 

  17. Nöldge G, Kiss I, Buzello W (1983) Vecuronium oder Succinylcholin zur kurzfristigen Vertiefung einer abklingenden neuromuskulären Blockade durch Pancuronium. Anaesthesist 32: S219–222

    Google Scholar 

  18. Scott RPF, Savarese JJ, Basta JS (1986) Clinical pharmacology of Atracurium given in high dose. Br J Anaesth 58: 834–838

    Article  PubMed  CAS  Google Scholar 

  19. Shaerer ES, Fahy LT, O’Sullivan EP, Hunter JM (1991) Transplacental distribution of atracurium laudanosine and monoquarteraary alcohol during elective caesarean section. Br J Anaesth 66: 551–556

    Article  Google Scholar 

  20. Waud BE, Waud DR (1972) The relation between the response to „ train-of-four“stimulation and receptor occlusion during competitive neuromuscular block. Anesthesiology 37: 413

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag, Berlin Heidelberg New York

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Krieg, N., Hofmockel, R. (1992). Anwendung von kompetitiven Muskelrelaxanzien. In: Benad, G., Hofmockel, R. (eds) 50 Jahre Muskelrelaxanzien. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77725-7_6

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  • DOI: https://doi.org/10.1007/978-3-642-77725-7_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-55826-2

  • Online ISBN: 978-3-642-77725-7

  • eBook Packages: Springer Book Archive

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