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Annals of Internal Medicine Jan 1978Pancuronium bromide is a nondepolarizing muscle relaxant approved to induce skeletal muscle relaxation during anesthesia and to facilitate the management of patients... (Review)
Review
Pancuronium bromide is a nondepolarizing muscle relaxant approved to induce skeletal muscle relaxation during anesthesia and to facilitate the management of patients undergoing mechanical ventilation. The use of pancuronium bromide during surgery led to the appreciation that it has advantages over drugs previously used for muscle relaxation. Patients in whom pancuronium bromide is of value are (1) hypoxemic patients resisting mechanical ventilation and so cardiovascularly unstable that use of sedatives is precluded, (2) patients with bronchospasm unresponsive to conventional therapy, (3) patients with severe tetanus or poisoning where muscle spasm prohibits adequate ventilation, (4) patients with status epilepticus unable to maintain their own ventilation, (5) shivering patients in whom metabolic demands for oxygen should be reduced, and (6) patients requiring tracheal intubation in whom succinylcholine administration is contraindicated. Without concomitant sedation, use of pancuronium bromide is associated with psychological risks. Other risks are undetected ventilator disconnection, tachyarrythmias, prolonged paralysis and drug interactions.
Topics: Animals; Asthma; Drug Interactions; Humans; Hypothermia; Intubation, Intratracheal; Pancuronium; Poisoning; Respiratory Distress Syndrome; Status Epilepticus; Tetanus
PubMed: 339801
DOI: 10.7326/0003-4819-88-1-64 -
Lancet (London, England) Oct 1984
Topics: Female; Gases; Humans; Infant, Newborn; Intestines; Pancuronium; Radiography
PubMed: 6148598
DOI: 10.1016/s0140-6736(84)90905-x -
Annals of Internal Medicine Apr 1978
Topics: Animals; Dogs; Drug Interactions; Humans; Lithium; Pancuronium
PubMed: 637445
DOI: 10.7326/0003-4819-88-4-577_1 -
Drugs 1972
Review
Topics: Androstanes; Anesthetics; Animals; Atropine; Blood Pressure; Cardiovascular System; Drug Synergism; Electrocardiography; Female; Heart Rate; Humans; Intubation, Gastrointestinal; Kinetics; Liver Diseases; Neostigmine; Neuromuscular Depolarizing Agents; Neuromuscular Junction; Neuromuscular Nondepolarizing Agents; Pancuronium; Pregnancy; Surgical Procedures, Operative; Time Factors
PubMed: 4264763
DOI: 10.2165/00003495-197204030-00002 -
The Medical Letter on Drugs and... Sep 1973
Comparative Study
Topics: Adjuvants, Anesthesia; Androstanes; Drug Interactions; Humans; Neuromuscular Nondepolarizing Agents; Pancuronium; Time Factors
PubMed: 4270167
DOI: No ID Found -
JAMA Feb 1973
Topics: Androstanes; Arrhythmias, Cardiac; Asthma; Heart; Heart Rate; Humans; Neuromuscular Nondepolarizing Agents; Pancuronium
PubMed: 4265409
DOI: No ID Found -
JAMA Jul 1973
Topics: Androstenes; Bromides; Humans; Injections, Intravenous; Neuromuscular Nondepolarizing Agents; Pancuronium; Tachycardia
PubMed: 4270061
DOI: No ID Found -
Critical Care Medicine 1975
Topics: Bromides; Female; Humans; Injections, Intravenous; Intensive Care Units; Male; Middle Aged; Pancuronium; Tachycardia
PubMed: 1126174
DOI: 10.1097/00003246-197501000-00004 -
Anesthesiology Jun 1975
Topics: Adult; Drug Interactions; Humans; Intraocular Pressure; Nitrous Oxide; Pancuronium; Thiopental
PubMed: 1130745
DOI: 10.1097/00000542-197506000-00023 -
Pediatrics Oct 1985
Topics: Humans; Infant, Newborn; Pancuronium; Respiration, Artificial; Risk
PubMed: 4047816
DOI: No ID Found