Source:http://linkedlifedata.com/resource/pubmed/id/11094012
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2000-12-20
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pubmed:abstractText |
We compared the potency and duration of action of rocuronium in Chinese and Caucasian patients during general anesthesia. Thirty-six women (18 Caucasian and 18 Chinese) and 36 children (18 Caucasian and 18 Chinese) were evaluated during the administration of propofol/fentanyl anesthesia. Patients in each age group were randomized into three subgroups to receive single doses of 0.06, 0. 12, or 0.18 mg/kg rocuronium (adults) or 0.12, 0.18, or 0.24 mg/kg rocuronium (children). Neuromuscular blockade was assessed by electromyography of the adductor pollicis after train-of-four (TOF) stimulation of the ulnar nerve. Dose response curves were constructed when maximum neuromuscular depression of the first twitch of the train (T(1)) was obtained. A second bolus dose of rocuronium was then administered to a total dose of 0.6 mg/kg. The times of spontaneous recovery to T(1) 10%, 25%, and 90% of control and to TOF 0.25, 0.50, and 0.70 were recorded. For both adults and children, recovery occurred later in Chinese than in Caucasian patients (P<0.05 for T(1) of 10%, 25%, 75%, and 90% and TOF to 0.7). The 50% effective dose was smaller in Chinese adults (125+/-63 vs. 159+/-66 microg/kg) and Chinese children (171+/-43 vs. 191+/-46 microg/kg) than in Caucasian adults and children, but the difference was not statistically significant. In adults, time to 25% T(1) recovery was 43+/-13 min in Chinese patients and 33+/-10 min in Caucasian patients (P<0.05). The corresponding values were more rapid for children: 30+/-10 and 24+/-6 min (P<0.05). We conclude that the recovery from rocuronium neuromuscular blockade was longer in Chinese compared with Caucasian patients and in adults compared with children.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0003-2999
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
91
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1526-30
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pubmed:dateRevised |
2004-11-18
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pubmed:meshHeading |
pubmed-meshheading:11094012-Adolescent,
pubmed-meshheading:11094012-Adult,
pubmed-meshheading:11094012-Androstanols,
pubmed-meshheading:11094012-Asian Continental Ancestry Group,
pubmed-meshheading:11094012-Child,
pubmed-meshheading:11094012-Child, Preschool,
pubmed-meshheading:11094012-Dose-Response Relationship, Drug,
pubmed-meshheading:11094012-Electromyography,
pubmed-meshheading:11094012-European Continental Ancestry Group,
pubmed-meshheading:11094012-Female,
pubmed-meshheading:11094012-Humans,
pubmed-meshheading:11094012-Male,
pubmed-meshheading:11094012-Middle Aged,
pubmed-meshheading:11094012-Neuromuscular Nondepolarizing Agents,
pubmed-meshheading:11094012-Synaptic Transmission,
pubmed-meshheading:11094012-Time Factors
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pubmed:year |
2000
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pubmed:articleTitle |
The prolonged duration of rocuronium in Chinese patients.
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pubmed:affiliation |
Department of Anesthesia, Vancouver General Hospital Vancouver, British Columbia, Canada. lindacollins@bc.sympatico.ca
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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