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British Journal of Anaesthesia
Article
License: Elsevier Non-Commercial
Data sources: UnpayWall
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British Journal of Anaesthesia
Article . 1974 . Peer-reviewed
License: Elsevier Non-Commercial
Data sources: Crossref
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FURTHER OBSERVATIONS ON DEPOLARIZING NEUROMUSCULAR BLOCK: THE SO-CALLED PHASE II BLOCK

Authors: A, Galindo; R, Kennedy;

FURTHER OBSERVATIONS ON DEPOLARIZING NEUROMUSCULAR BLOCK: THE SO-CALLED PHASE II BLOCK

Abstract

The biphasic depression of muscle contractions induced by succinylcholine (Sch) and decamethonium (C 10 ) in rat diaphragms at 32 °C was investigated. The type of depression induced by these muscle relaxants was dependent on their speed of administration and the experimental conditions. Contrary to present belief, endplate depolarization had a minor role in the mode of action of Sch and C 10 during the initial neuromuscular block (phase I); this initial phase was caused by a prejunctional failure similar for both drugs. The late depression of muscle contractions (phase II) had different causes depending on the drug used and could be present without the preceding phase I. Postjunctional desensitization may contribute to phase II block under C 10 but its role is insignificant, if any, under Sch. These results may be more relevant to the action of C 10 and Sch in man than observations made from muscles of frogs maintained at room temperature. However, until these observations are tested in human muscles in situ we cannot be sure of their applicability to the clinical situation.

Related Organizations
Keywords

Dose-Response Relationship, Drug, Decamethonium Compounds, Diaphragm, Succinylcholine, In Vitro Techniques, Motor Endplate, Electric Stimulation, Neostigmine, Membrane Potentials, Rats, Phrenic Nerve, Neuromuscular Depolarizing Agents, Potassium, Animals, Muscle Contraction

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Average
Top 10%
Average
hybrid