The effect of neuromuscular blockade with vecuronium on hemodynamic responses to noxious stimuli in the rat

• Published in: Anesthesiology (Philadelphia) Vol. 71; no. 2; pp. 214 - 217
• Main Authors: GIBBS, N. M, LARACH, D. R, SCHULER, H. G
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott 01-08-1989
• Subjects: Anesthesia, Inhalation; Anesthetics. Neuromuscular blocking agents; Animals; Biological and medical sciences; Blood Pressure - drug effects; Halothane; Heart Rate - drug effects; Hemodynamics - drug effects; Isoflurane; Male; Medical sciences; Neuromuscular Junction - drug effects; Neuropharmacology; Pain - physiopathology; Pharmacology. Drug treatments; Rats; Rats, Inbred Strains; Vecuronium Bromide - pharmacology; Heart; Vertebrata; Mammalia; Non depolarisant myorelaxant; Rat; Rodentia; Frequency; Arterial pressure; Hemodynamics
• ISSN: 0003-3022; 1528-1175
• DOI: 10.1097/00000542-198908000-00009

The effect of neuromuscular blockade with vecuronium on the hemodynamic responses to a noxious stimulus was investigated in male Sprague-Dawley rats. The rats were anesthetized with either halothane (group 1, n = 10), or isoflurane (group 2, n = 10). The maximum values for heart rate and mean arterial pressure during the noxious stimulus (base-tail clamp) were measured, and the maximum changes in these values (maximum minus prestimulation) were calculated. The responses were measured at two different anesthetic concentrations (0.6 X MAC, 0.75 X MAC), before and after vecuronium 1.0 mg.kg-1 iv. It was found that neuromuscular blockade with vecuronium did not reduce any of the hemodynamic responses measured, at either anesthetic concentration, in either the halothane or the isoflurane group. However, increasing the anesthetic concentration from 0.6 X MAC to 0.75 X MAC produced statistically significant (P less than 0.01) reductions in several of the responses measured. The inability of vecuronium to reduce hemodynamic responses to noxious stimuli in this study suggests that neuromuscular blockade does not alter anesthetic depth in the rat. A knowledge of this "absence of effect" may be important for investigators who need to induce muscle relaxation in laboratory animals prior to examining the effect of anesthetic agents on hemodynamic responses to noxious stimuli. The results also question the ability of neuromuscular blockade to reduce anesthetic requirement, and support the view that neuromuscular blockade does not contribute to the anesthetic state.