• Anaesthesia · Jul 1979

    Mixed neuromuscular block. A re-assessment using train-of-four stimulation.

    • J M Rouse and D R Bevan.
    • Anaesthesia. 1979 Jul 1; 34 (7): 608-13.

    AbstractSuxamethonium was administered to patients during recovery from non-depolarising muscle relaxation. The effect of suxamethonium varied depending upon the degree of recovery from the non-depolarising block when it was administered. Early in recovery suxamethonium produced reversal of the non-depolarising block without paralysis whereas when administered later, initial recovery of the non-depolarising block was followed by paralysis. If administered after 50% recovery the predominant effect was paralysis without initial recovery. Assessment of neuromuscular blockade with train-of-four stimulation showed that the paralysis produced by suxamethonium under these circumstances, had depolarising and non-depolarising features.

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