Effect of arterial carbon dioxide tension on the duration of action of atracurium

Br J Anaesth. 1991 Jan;66(1):45-7. doi: 10.1093/bja/66.1.45.

Abstract

The duration of action of atracurium was studied in two groups of patients. In group I (n = 15), patients' lungs were hyperventilated to a mean PaCO2 of 3.3 kPa and in group II (n = 15) lungs were ventilated to maintain a mean PaCO2 of 5.3 kPa. Anaesthesia was maintained using an infusion of propofol. The time taken to return to a T1 twitch height of 10% of control was measured following each incremental dose of atracurium 0.15 mg kg-1. It was found that the duration of action of atracurium was significantly (P less than 0.0005) shorter in the hypocapnic group.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anesthesia, Intravenous
  • Arteries / physiology
  • Atracurium / pharmacology*
  • Carbon Dioxide / blood*
  • Humans
  • Hydrogen-Ion Concentration
  • Middle Aged
  • Muscle Contraction / drug effects
  • Partial Pressure
  • Time Factors

Substances

  • Carbon Dioxide
  • Atracurium