Association between levobupivacaine and pancuronium. Interference in neuromuscular transmission and blockade in rats
Acta cir. bras
; 31(7): 486-489,
Article
in En
| LILACS
| ID: lil-787260
Responsible library:
BR1.1
ABSTRACT
ABSTRACT PURPOSE:
To evaluate the effects of levobupivacaine on neuromuscular transmission and neuromuscular blockade produced by pancuronium in vitro.METHODS:
Thirty rats were distributed into groups (n = 5) according to the drug used alone or in combination Group I - levobupivacaine (5 µg.mL-1); Group II - pancuronium (2 µg.mL-1); Group III - pancuronium (2 µg.mL-1) + levobupivacaine (5µg.mL-1). The following parameters were evaluated 1) amplitude of diaphragmatic response to indirect stimulation, before and 60 minutes after the addition of levobupivacaine and pancuronium alone, and after the addition of levobupivacaine combined with pancuronium; 2) membrane potentials (MP) and miniature endplate potentials (MEPP).RESULTS:
Levobupivacaine alone did not alter the amplitude of muscle response and MP. In preparations previoulsy exposed to levobupivacaine, the block with pancuronium was significantly denser (90.2 ± 15.2%), showing a significant difference (p=0.031) in comparison to the block produced by pancuronium alone (48.9% ± 9.8%). There was a decrease in the frequency and amplitude of MEPPs.CONCLUSION:
Levobupivacaine potentiated the neuromuscular blockade produced by pancuronium, confirming a presynaptic action by a decrease in miniature endplate potentials.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Pancuronium
/
Bupivacaine
/
Synaptic Transmission
/
Neuromuscular Blockade
/
Neuromuscular Junction
Type of study:
Risk_factors_studies
Limits:
Animals
Language:
En
Journal:
Acta cir. bras
Journal subject:
CIRURGIA GERAL
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2016
Document type:
Article
Affiliation country: