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Pre-treatment with Magnesium sulphate before non depolarizing muscle relaxants: Effect on speed on onset, induction and recovery

Suresh Singh, Deepak Malviya, Sujeet Rai, Birendra Yadav, Sanjeev Kumar, Abhishek Sharma.




Abstract

Background: Magnesium sulphate is used during anaesthesia for its antihypertensive/ antiarrhythmic properties and attenuating the response to endotrachial intubation and as an anticonvulsant for women with eclampsia. At the motor nerve terminal, MgSO4 inhibits acetylcholine release. Thus, it enhances the effect of neuromuscular blocking agents.

Aims & Objectives: To determine the effect of magnesium sulphate pre-treatment on the onset, duration and recovery of non-depolarizing muscle relaxant and to quantify the haemodynamic effects of administration of MgSO4 on the arterial blood pressure.

Materials and Methods: One year old prospective, randomized, double blinded, controlled clinical study was conducted on randomly selected 45 patients of either sex, aged between 18-55 years, of grade I or II of American Society of Anaesthesiologists, undergoing elective surgery at a Medical College of eastern Uttar Pradesh. Patients were divided into three groups according to the doses of MgSO4 used for pre-treatment. Statistical evaluation was done by using student’s ‘t’ test for paired data.

Results: The Mean Arterial Blood Pressure response to laryngoscopy, tracheal intubation, was almost abolished in Group A (p

Key words: Magnesium Sulphate (MgSO4); Pre-treatment; Non-Depolarizing Muscle Relaxant






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