WebCisatracurium and atracurium share the same metabolic pathways, but Hofmann elimination may have a greater role in the elimination of cisatracurium than in atracurium [2, 4–7]. Spontaneous in vivo degradation accounts for 77% of total body clearance of cisatracurium [6]. Organ clearance is 23% of total body clearance. WebDec 11, 2024 · For atracurium and cisatracurium, their Hoffman elimination produces the metabolite laudanosine. If allowed to build up like in cases of hepatic failure, this metabolite can cause central nervous system (CNS) excitation to the point of seizure activity. Pancuronium, which is normally eliminated via deacetylation by hepatocytes, can …
Cisatracurium Besylate Injection: Package Insert - Drugs.com
WebHofmann elimination. Approximately 77% if the drug injected undergoes Hofmann elimination which is an organ independent elimination process. The elimination half-life of cisatracurium besilate in patients with normal organ function is 25 minutes. Raise in temperature either body or room temperature will WebNOTE: Cisatracurium is not recommended for rapid-sequence intubation due to the time required for its onset of action. Intravenous dosage. Adults. 0.15 to 0.2 mg/kg/dose IV. Doses up to 0.4 mg/kg have been used. Onset of intubating conditions is 2 minutes. Coadministration of certain drugs may need to be avoided or dosage adjustments may be ... philips 200xw7eb
Nimbex: Package Insert / Prescribing Information - Drugs.com
WebJan 22, 2024 · The Hofmann elimination process was enhanced, followed by a decrease in the cisatracurium concentration at the target organ in hyperthermia and respiratory/metabolic alkalosis conditions [8, 9]. Therefore, inadequate cisatracurium concentrations in target organs may contribute to a delay in respiratory management. WebHofmann elimination is a spontaneous, base-catalyzed, nonenzymatic chemical reaction by which atracurium is cleaved into two molecules. 125,129 Alkalosis increases resistance to atracurium-induced neuromuscular block, 130 while hypothermia slows the temperature-dependent breakdown so that less atracurium is required to maintain a given depth of … WebCisatracurium, one of 10 isomers of atracurium, undergoes pH and temperature-dependent Hofmann elimination in plasma and tissues. The clearance of cisatracurium due to … trust extension form