Influence of stimulus frequency on blockade induced by pancuronium and rocuronium: study on rats phrenic nerve-diaphragm preparation

Acta Cir Bras. 2007 Nov-Dec;22(6):446-50. doi: 10.1590/s0102-86502007000600006.

Abstract

Purpose: To evaluate the influence of two stimulation frequencies on the installation of neuromuscular blockade produced by pancuronium and rocuronium on the rat diaphragm.

Methods: Diaphragms were submitted to an indirect frequency stimulation of 0.1 and 1 Hz (Groups I and II, respectively). Subgroups were formed (n=5) according to the neuromuscular blocker employed (pancuronium-2 microg/ml and rocuronium-4 microg/ml). The twitch height depression was evaluated at 5, 15 and 30 minutes after adding the neuromuscular blocker.

Results: The decrease in twitch height was greater (p<0.01) with a frequency of 1 Hz at all time periods studied both in preparations that are blocked with pancuronium and in those that are blocked with rocuronium.

Conclusion: The frequency of stimulation interferes significantly with the installation of neuromuscular blockade produced by pancuronium and rocuronium, since the reduction in amplitude of the rat diaphragm response was greater for 1 Hz frequencies, at all periods studied.

MeSH terms

  • Androstanols*
  • Animals
  • Diaphragm / drug effects
  • Diaphragm / innervation
  • Electric Stimulation / methods*
  • Male
  • Neuromuscular Blockade / methods
  • Neuromuscular Nondepolarizing Agents*
  • Pancuronium*
  • Phrenic Nerve / drug effects*
  • Phrenic Nerve / physiology
  • Rats
  • Rats, Wistar
  • Rocuronium

Substances

  • Androstanols
  • Neuromuscular Nondepolarizing Agents
  • Pancuronium
  • Rocuronium