The effect of pre-emptive acupuncture treatment on analgesic requirements after day-case knee arthroscopy
✍ Scribed by S. Gupta; J. D. Francis; A. B. Tillu; A. I. Sattirajah; J. Sizer
- Book ID
- 104456102
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 561 KB
- Volume
- 54
- Category
- Article
- ISSN
- 0003-2409
No coin nor oath required. For personal study only.
✦ Synopsis
The effect on intra‐operative heart rate of two nondepolarising muscle relaxants, rocuronium and vecuronium, was compared in 116 fit out‐patients undergoing gynaecological laparoscopic procedures. Both groups received an anaesthetic technique which differed only in the choice of muscle relaxant. Intra‐operatively it was noted that patients given rocuronium (20 mg) had significantly fewer episodes of bradycardia (heart rate < 50 beat.min^−1^) than patients given vecuronium 4 mg (p < 0.05). Profound bradycardias (heart rate < 30 beat.min^−1^) did not occur in any of the patients in the rocuronium study group, whereas 5% of patients receiving vecuronium had a period of transient asystole. We conclude that, at the doses stated, rocuronium results in significantly fewer episodes of bradycardia than vecuronium when used as a muscle relaxant for laparoscopic gynaecological procedures.