Neuromuscular blocking agents
Background
- Non-depolarizing
- Competitively block binding of ACh to its receptors
- Depolarizing
- Depolarizing skeletal muscle fiber
- Persistent depolarization makes the muscle fiber resistant to further stimulation by ACh
Types
Agent | Time to onset (seconds) |
Duration (minutes) |
Side effects | Clinical use |
---|---|---|---|---|
Non-Depolarizing | ||||
Succinylcholine | fasciculations, post-operative pain | |||
Depolarizing | ||||
Atracurium (Tracrium) | 90 | 30 min or less[1] |
| |
Vecuronium (Norcuron) | 60 | 30–40 | Few, may cause prolonged paralysis and promote muscarinic block | |
Rocuronium (Zemuron) | 75 | 45–70 | may promote muscarinic block | |
Pancuronium (Pavulon) | 90 | 180 or more |
(no hypotension) |