Effects of skeletal muscle denervation on potency of rocuronium.

dc.contributor.authorHong, Wang
dc.contributor.authorLiang, Qi-Sheng
dc.contributor.authorCheng, Lan-Ren
dc.contributor.authorLi, Xiao-Hong
dc.contributor.authorWei, Fu
dc.contributor.authorDai, Wen-Tao
dc.contributor.authorLi, Shi-Tong
dc.date.accessioned2011-10-18T10:03:35Z
dc.date.available2011-10-18T10:03:35Z
dc.date.issued2011-08
dc.description.abstractBackground: Rocuronium is an alternative to succinylcholine for rapid tracheal intubation after major thermal injury and other forms of critical illness that cause denervation changes in skeletal muscle. Rocuronium may decrease the potencies of non-depolarizing muscle relaxants. Objectives: Examine whether potency of rocuronium changed during the first month after denervation, and investigate the effects of skeletal muscle denervation on potency of rocuronium. Methods: The denervation mouse model was developed to create denervated individual cells from the flexor digitorum brevis of the hindfoot. The skeletal muscle cells were examined at day 0 in the innervated control and days 1, 4, 7, 14, 21, and 28 in the denervation group. Nicotinic acetylcholine receptors in the cells were activated with 30 M acetylcholine, alone or in combination with various concentrations of rocuronium. Currents were recorded with a whole-cell patch-clamp technique. Results: Rocuronium reversibly inhibited acetylcholine-activated currents in a dose-dependent fashion at different times after denervation. The inhibition concentration for the half-maximal responses of rocuronium increased 1.2- (p >0.05), 1.8-, 2.8-, 2.3-, 2.1-, and 1.9-fold (p<0.01) at day 1, 4, 7, 14, 21, and 28 after denervation, respectively, compared to that at day 0 after denervation. Conclusion: Rocuronium dose required to achieve satisfactory clinical effects changed at different durations after skeletal muscle denervation.en_US
dc.identifier.citationAsian Biomedicine (Research Reviews and News); Vol. 5 No. 4 Aug 2011; 507-512.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/135026
dc.language.isoenen_US
dc.publisherAsian Biomedicine (Research Reviews and News)en_US
dc.rightsAsian Biomedicine (Research Reviews and News)en_US
dc.source.urihttps://abm.digitaljournals.org/index.php/abm/article/viewFile/733/468en_US
dc.subjectPotencyen_US
dc.subjectrocuroniumen_US
dc.subjectskeletal muscle denervationen_US
dc.subjectwhole-cell patch-clamp techniqueen_US
dc.titleEffects of skeletal muscle denervation on potency of rocuronium.en_US
dc.typeArticleen_US
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