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Rev Esp Anestesiol Reanim. 2006 May;53(5):297-300.

[Clinical effect of mivacurium in morbidly obese patients].

[Article in Spanish]

Author information

  • 1Servicio de Anestesiología, Hospital Arnau de Vilanova, Valencia. jabama16@hotmail.com

Abstract

OBJECTIVES:

To compare the clinical effect of mivacurium in morbidly obese and normal-weight patients.

PATIENTS AND METHODS:

Ten morbidly obese patients (body mass index >40) and 10 normal-weight patients (body mass index, 21-24) with normal plasma cholinesterase levels. Anesthesia was provided with propofol and remifentanil in continuous infusion and a mixture of oxygen and nitrous oxide. Mivacurium was administered at a dose based on the patient's weight (0.15 mg x kg(-1)). The neuromuscular block was monitored by train-of-four (TOF) acceleromyography after stimulation of the cubital nerve at the forearm. We measured the onset time (time from administration of the muscle relaxant to 95% twitch depression), duration of block (times from dosing to 5% recovery after the first twitch [T1] of a TOF stimulus and to a TOF ratio of 80%), and the recovery indices (time between 25% and 75% recovery after T1 and between recovery of TOF ratios of 25% and 80%). Groups were compared with the Student t test.

RESULTS:

Mean (SD) onset time was similar in the 2 groups (normal weight 2.73 [1] minutes vs morbidly obese 1.91 [0.6] minutes). Other measures of duration and recovery were also similar in the 2 groups, respectively: duration of dose-T1 5%, 12.23 (2.1) vs 11.45 (3) minutes; dose-TOF ratio 80%, 24.71 (4.6) vs 24.81 (5) minutes); recovery index T1 25%-75%, 6.45 (2) vs 5.56 (1) minutes; recovery of TOF ratio T1 25%-80%, 9 (2) vs 10.11 (2) minutes.

CONCLUSION:

We found no differences in the clinical effect of mivacurium between morbidly obese and normal-weight patients when doses were based on real weight.

PMID:
16827069
[PubMed - indexed for MEDLINE]
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