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Yeungnam Univ J Med > Volume 3(1); 1986 > Article
Yeungnam University Journal of Medicine 1986;3(1):49-51.
DOI: https://doi.org/10.12701/yujm.1986.3.1.49    Published online December 31, 1986.
A Clinical Study of Succinylcholine-Atracurium for Cesarian Section.
Dae Pal Park
Abstract
Atracurium was used in 10 parturients undergoing elective cesarian section under general Anesthesia. An initial bolus of 0.4 mg/kg of the atracurium was injected after recovery from succinylcholine block. Complete neuromuscular block resulted in all cases. Muscular relaxation was maintained by incremental dose of 0.2mg/kg of atracurium. Administration of atracurium did not cause significant change in blood pressure, pulse rate and infants Apgar score. The residual neuromuscular block could be antagonized at the end of the procedure by mixture of 0.005 mg/kg glycopyrrolate and 0.03 mg/kg of neostigmine. In all parturients, antagonism was adequate as evidenced by respiratory response and head lift test. Atracurium may be advantageous in parturients undergoing cesarian section under general anesthesia cause it maintained cardiovascular stability, is non-cumulative, is readily antagonized by neostigmine and has no deleterious effect on the newborn.


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