Neuromuscular block by circulating D-tubocurarine residue following uptake and distribution

Can Anaesth Soc J. 1977 Jul;24(4):468-74. doi: 10.1007/BF03005451.

Abstract

Serum concentration of d-tubocurarine decreases rapidly after intravenous injection because of uptake and distribution. The circulating residue of an ED 50 dose of d-tubocurarine five minutes after injection will produce no block in a previously unexposed neuromuscular junction. To produce a 50 per cent block with the circulating d-tubocurarine residue in a previously unexposed neuromuscular junction requires an initial injection of 2.5 x ED 50 dose. Five minutes after a dose 5 to 6 times the ED 50, the plasma d-tubocurarine residue is sufficient to produce a total block.

MeSH terms

  • Animals
  • Cats
  • Female
  • Male
  • Muscle Contraction / drug effects
  • Neuromuscular Junction / drug effects*
  • Synaptic Transmission / drug effects
  • Time Factors
  • Tubocurarine / blood*
  • Tubocurarine / pharmacology

Substances

  • Tubocurarine