Present address and address for correspondence: Dr J.M. Hunter, University Department of Anaesthesia, Royal Liverpool Hospital, Prescot Street, P.O. Box 147, Liverpool L69 3BX.
Vecuronium infusions in patients with renal failure in an ITU
Article first published online: 22 FEB 2007
Volume 42, Issue 4, pages 387–393, April 1987
How to Cite
SMITH, C. L., HUNTER, J. M. and JONES, R. S. (1987), Vecuronium infusions in patients with renal failure in an ITU. Anaesthesia, 42: 387–393. doi: 10.1111/j.1365-2044.1987.tb03980.x
- Issue published online: 22 FEB 2007
- Article first published online: 22 FEB 2007
- Anaesthetic techniques; infusions;
- Neuromuscular relaxants; vecuronium
The use of an infusion of vecuronium is described in seven patients with renal and respiratory failure in an intensive therapy unit. Neuromuscular function was monitored throughout using the train-of-four twitch technique. A bolus dose of vecuronium (0.1 mg/kg) was given, followed immediately by a continuous infusion (0.05 mg/kg/hour). The infusion rate was adjusted until the first twitch of the train was helow 20% of control and then run at a constant rate.
There was a marked variation in the dose of vecuronium administered (0.01—0.65 mg/kg/hour). Two patients, who appeared to be most sensitive to the drug, were both receiving metronidazole. Recovery of neuromuscular function was extremely prolongea and widely variable (6–37 hours) on stopping the infusion. No adverse cardiovascular effects or evidence of histamine release were seen as a result of administration of the drug. Vecuronium is probably more suitable for administration in bolus doses rather than by infusion in patients with renal and respiratory failure.