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Dosage requirement of pancuronium in halothane-anesthetized ponies: a comparison of cumulative and single-dose administration.

Abstract: Cumulative vs single-bolus administration of pancuronium was studied in halothane-anesthetized ponies. Dosage levels were determined by giving small increments (0.01 to 0.04 mg/kg of body weight) until the desired relaxation occurred (0.125 +/- 0.038 mg/kg for 90% to 99% reduction of prerelaxant twitch height), then an additional 0.037 +/- 0.024 mg/kg for obliteration of twitch response. The dosage level defined by cumulative administration was then administered as a single bolus 2 more times, once on each of 2 days. Dosage requirements for the 2 methods correlated well. The difference in duration of paralysis caused by doses of different magnitude was compared, 1 dose to produce discernible surgical relaxation (90% to 99% reduction of twitch height) and a larger dose that obliterated discernible twitch height. The larger dose produced a significantly (P less than 0.05) longer duration of paralysis until a 10% recovery of prerelaxant twitch height was attained. The recovery phase, defined as the duration from 10% to 75% recovery of prerelaxant twitch tension, was not significantly different in ponies given either dose. Seemingly, after relaxant recovery began, the larger dose did not slow recovery. Duration of maximum paralysis until 10% recovery took 41 +/- 16 minutes for the larger dose and 10 +/- 5 minutes for the smaller dose. The recovery phase (10% to 75%) took 12 +/- 3.2 minutes and 11 +/- 4 minutes for the large and smaller doses, respectively.
Publication Date: 1984-11-01 PubMed ID: 6524742
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  • Journal Article

Summary

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This research article studies the dosage requirement of pancuronium, a muscle relaxant, in horses anesthetized with halothane. The experiment compared whether the drug was administered all at once or incrementally, and found that both methods correlated well in terms of dosage required. A larger dosage resulted in a significantly longer duration of paralysis, but didn’t affect the speed of recovery once muscle relaxation began.

Study Method and Dosage Calculation

  • The researchers began by determining the necessary dosage of pancuronium to achieve the desired level of muscle relaxation in the ponies. This was done by administering small increments of the drug until 90%-99% reduction in muscle twitch was observed.
  • The dosage achieved through cumulative administration was then given as a single dose two more times, over two days, to compare the effects of the different administration methods.

Outcomes and Observations

  • The study found that the dosage requirements for both methods of administration correlated well together, indicating that pancuronium could be administered effectively either way.
  • However, a larger dose led to a significantly longer period of paralysis, but did not slow down the recovery speed once muscle relaxation began.
  • This showed that a higher dose of pancuronium can be administered to achieve a longer duration of muscle relaxation, without prolonging the recovery phase.

Duration of Paralysis and Recovery Time

  • The recovery phase, which was defined as the duration from 10% to 75% recovery of muscle twitch, was not significantly different between ponies given either dosage.
  • For the larger dosage, the period of maximum paralysis until 10% recovery took approximately 41 minutes, compared to 10 minutes for the smaller dosage.
  • However, the recovery phase was about the same length for both dosages, with the ponies taking about 12 minutes to recover from the larger dosage and 11 minutes from the smaller dosage.

In conclusion, the study provides useful insights for veterinary anesthesiologists who aim to optimally administer pancuronium in relation to the surgical requirements and the individual patient’s needs. The findings can be particularly beneficial when dealing with scenarios where a longer duration of muscle relaxation may be required.

Cite This Article

APA
Hildebrand SV, Howitt GA. (1984). Dosage requirement of pancuronium in halothane-anesthetized ponies: a comparison of cumulative and single-dose administration. Am J Vet Res, 45(11), 2441-2444.

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 45
Issue: 11
Pages: 2441-2444

Researcher Affiliations

Hildebrand, S V
    Howitt, G A

      MeSH Terms

      • Anesthesia, General / veterinary
      • Animals
      • Blood Pressure / drug effects
      • Dose-Response Relationship, Drug
      • Halothane
      • Heart Rate / drug effects
      • Horses / physiology
      • Horses / surgery
      • Muscle Relaxation / drug effects
      • Pancuronium / administration & dosage

      Citations

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