DOSE-RESPONSES FOR EDROPHONIUM DURING ANTAGONISM OF VECURONIUM BLOCK IN YOUNG AND OLDER ADULT PATIENTS

The dose-response relationship for edrophonium during antagonism of ve curonium-induced neuromuscular blockade was studied in two groups of a dult patients of mean (SD) age 35 (10.0) years (n = 42) and 77 (5.4) y ears (n = 42) respectively. Neuromuscular block was monitored by recor ding the force of contraction of the adductor pollicis muscle followin g train-of-four stimulation. Six patients in each age group received 0 .1, 0.3, 0.5, 0.7, 1.0, or 1.5 mg.kg(-1) of edrophonium, or normal sal ine at 10% recovery of T1 (first response in the train-of-four) after a single dose of vecuronium 0.08 mg.kg(-1). The train-of-four ratios w ere recorded continuously over the next 10 min and the values at 1 min intervals from 5 min onwards were used to construct the dose-response curves. The dose-response curves showed no significant difference bet ween the two age groups except at 10 min. The estimated dose of edroph onium required for attaining a train-of-four ratio of 0.7 at 10 min wa s 0.9 and 1.3 mg.kg(-1) in the younger and older groups, respectively (p < 0.05).