Page last updated: 2024-10-26

edrophonium and Neuromuscular Blockade

edrophonium has been researched along with Neuromuscular Blockade in 17 studies

Edrophonium: A rapid-onset, short-acting cholinesterase inhibitor used in cardiac arrhythmias and in the diagnosis of myasthenia gravis. It has also been used as an antidote to curare principles.
edrophonium : A quaternary ammonium ion that is N-ethyl-N,N-dimethylanilinium in which one of the meta positions is substituted by a hydroxy group. It is a reversible inhibitor of cholinesterase, with a rapid onset (30-60 seconds after injection) but a short duration of action (5-15 minutes). The chloride salt is used in myasthenia gravis both diagnostically and to distinguish between under- or over-treatment with other anticholinesterases. It has also been used for the reversal of neuromuscular blockade in anaesthesia, and for the management of poisoning due to tetrodotoxin, a neuromuscular blocking toxin found in puffer fish and other marine animals.

Neuromuscular Blockade: The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.

Research Excerpts

ExcerptRelevanceReference
"To study heart rate (HR), arterial blood pressure (BP) and autonomic nervous (AN) effects of edrophonium-atropine combinations during neuromuscular blockade (NMB) antagonism in sheep."9.13Cardiovascular and autonomic nervous effects of edrophonium and atropine combinations during neuromuscular blockade antagonism in sheep. ( Clutton, RE; Glasby, MA, 2008)
"Sixty patients undergoing elective surgery procedures with a standardized desflurane-remifentanil-rocuronium anesthetic technique received either sugammadex, 4 mg/kg IV (n = 20), edrophonium, 1 mg/kg IV and atropine, 10 microg/kg IV (n = 20), or neostigmine, 70 microg/kg IV and glycopyrrolate, 14 microg/kg IV (n = 20) for reversal of neuromuscular blockade at 15 min or longer after the last dose of rocuronium using acceleromyography to record the train-of-four (TOF) responses."9.12Sugammadex reversal of rocuronium-induced neuromuscular blockade: a comparison with neostigmine-glycopyrrolate and edrophonium-atropine. ( Klein, K; Sacan, O; Tufanogullari, B; White, PF, 2007)
"Mivacurium is a short-acting non-depolarizing muscle relaxant, which is hydrolyzed by butyrylcholinesterase."6.61Reversal of mivacurium-induced neuromuscular blockade with a cholinesterase inhibitor: A systematic review. ( Brinch, JHW; Gätke, MR; Madsen, MV; Söderström, CM, 2019)
"To study heart rate (HR), arterial blood pressure (BP) and autonomic nervous (AN) effects of edrophonium-atropine combinations during neuromuscular blockade (NMB) antagonism in sheep."5.13Cardiovascular and autonomic nervous effects of edrophonium and atropine combinations during neuromuscular blockade antagonism in sheep. ( Clutton, RE; Glasby, MA, 2008)
"Acetylcholinesterase inhibitors (neostigmine, edrophonium) and encapsulating agents (sugammadex and calabadion) can be used to reverse residual neuromuscular blockade (NMB)."4.93Reversing neuromuscular blockade: inhibitors of the acetylcholinesterase versus the encapsulating agents sugammadex and calabadion. ( Eikermann, M; Haerter, F, 2016)
"Benzoquinonium (Mytolon) has been shown to produce a curare-like rather than a decamethonium-like paralysis of neuromuscular transmission in the tibialis anterior and soleus muscle of cats and the gastrocnemius muscle of hens."3.63The neuromuscular blocking action of benzoquinonium chloride in the cat and in the hen. ( BOWMAN, WC, 1958)
"When edrophonium was used, no cases of recurarization were observed."2.84Effects of neostigmine or edrophonium on force of contraction when administered at a train-of-four ratio of 0.9 in anesthetized dogs. ( Campoy, L; Gleed, RD; Martin-Flores, M; Romano, M; Sakai, DM; Tseng, CT, 2017)
"Mivacurium is a short-acting non-depolarizing muscle relaxant, which is hydrolyzed by butyrylcholinesterase."2.61Reversal of mivacurium-induced neuromuscular blockade with a cholinesterase inhibitor: A systematic review. ( Brinch, JHW; Gätke, MR; Madsen, MV; Söderström, CM, 2019)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19903 (17.65)18.7374
1990's1 (5.88)18.2507
2000's7 (41.18)29.6817
2010's6 (35.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Romano, M1
Martin-Flores, M2
Sakai, DM2
Tseng, CT1
Campoy, L1
Gleed, RD1
Brinch, JHW1
Söderström, CM1
Gätke, MR1
Madsen, MV1
Jones, RS1
Auer, U1
Mosing, M1
Haerter, F1
Eikermann, M1
Lee, C1
Katz, RL1
Savarese, JJ2
McGilvra, JD1
Sunaga, H1
Belmont, MR2
Van Ornum, SG1
Savard, PM1
Heerdt, PM1
HOUGS, W1
JOHANSEN, SH1
BOWMAN, WC1
Hokkanen, E1
Suzuki, T1
Lien, CA1
Tjan, J1
Sacan, O1
White, PF1
Tufanogullari, B1
Klein, K1
Clutton, RE1
Glasby, MA1
Brandom, BW1
Woelfel, SK1
Ference, A1
Dayal, B1
Cook, DR1
Kerls, S1
Driessen, JJ1
Robertson, EN1
Booij, LH1
McNicholas, JJ1
Harban, FM1
Abdulatif, M1
El-Sanabary, M1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase I, Single-Site, Tri-Institutional, Open-Label, Three-Part, Dose-Escalation Study to Evaluate the Safety, Pharmacokinetics, and Efficacy of CW002 in Healthy Adult Anesthetized Volunteers[NCT01338935]Phase 1136 participants (Actual)Interventional2011-05-31Terminated (stopped due to Pharmacokinetic stopping criteria for the study were met.)
Comparison Between the Efficacy of Neostigmine Versus Sugammadex Reversal of Rocuronium Induced Neuromuscular Blockade In Paediatric Patients.[NCT03137290]80 participants (Actual)Interventional2014-12-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for edrophonium and Neuromuscular Blockade

ArticleYear
Reversal of mivacurium-induced neuromuscular blockade with a cholinesterase inhibitor: A systematic review.
    Acta anaesthesiologica Scandinavica, 2019, Volume: 63, Issue:5

    Topics: Cholinesterase Inhibitors; Edrophonium; Humans; Mivacurium; Neostigmine; Neuromuscular Blockade; Ran

2019
Reversal of neuromuscular block in companion animals.
    Veterinary anaesthesia and analgesia, 2015, Volume: 42, Issue:5

    Topics: Anesthesia, Intravenous; Anesthetics, Intravenous; Animals; Antidotes; Cholinesterase Inhibitors; De

2015
Reversing neuromuscular blockade: inhibitors of the acetylcholinesterase versus the encapsulating agents sugammadex and calabadion.
    Expert opinion on pharmacotherapy, 2016, Volume: 17, Issue:6

    Topics: Anesthesia Recovery Period; Anesthesia, General; Cholinesterase Inhibitors; Delayed Emergence from A

2016
Clinical implications of new neuromuscular concepts and agents: so long, neostigmine! So long, sux!
    Journal of critical care, 2009, Volume: 24, Issue:1

    Topics: Androstanols; Anesthesia Recovery Period; Chemistry, Pharmaceutical; Cholinesterase Inhibitors; Dose

2009

Trials

5 trials available for edrophonium and Neuromuscular Blockade

ArticleYear
Effects of neostigmine or edrophonium on force of contraction when administered at a train-of-four ratio of 0.9 in anesthetized dogs.
    Veterinary anaesthesia and analgesia, 2017, Volume: 44, Issue:6

    Topics: Anesthesia, General; Animals; Cross-Over Studies; Dogs; Edrophonium; Muscle Contraction; Neostigmine

2017
Edrophonium effectively antagonizes neuromuscular block at the laryngeal adductors induced by rapacuronium, rocuronium and cisatracurium, but not mivacurium.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2003, Volume: 50, Issue:9

    Topics: Adolescent; Adult; Androstanols; Atracurium; Cholinesterase Inhibitors; Edrophonium; Electric Stimul

2003
Sugammadex reversal of rocuronium-induced neuromuscular blockade: a comparison with neostigmine-glycopyrrolate and edrophonium-atropine.
    Anesthesia and analgesia, 2007, Volume: 104, Issue:3

    Topics: Adjuvants, Anesthesia; Aged; Androstanols; Atropine; Cholinesterase Inhibitors; Edrophonium; Female;

2007
Cardiovascular and autonomic nervous effects of edrophonium and atropine combinations during neuromuscular blockade antagonism in sheep.
    Veterinary anaesthesia and analgesia, 2008, Volume: 35, Issue:3

    Topics: Anesthesia; Animals; Atracurium; Atropine; Blood Pressure; Cholinesterase Inhibitors; Drug Therapy,

2008
Edrophonium antagonism of cisatracurium-induced neuromuscular block: dose requirements in children and adults.
    Anaesthesia and intensive care, 2001, Volume: 29, Issue:4

    Topics: Adult; Atracurium; Child; Child, Preschool; Cholinesterase Inhibitors; Dose-Response Relationship, D

2001

Other Studies

8 other studies available for edrophonium and Neuromuscular Blockade

ArticleYear
Effects of two levels of partial neuromuscular block with atracurium on the ventilatory response to hypercapnia in anesthetized Beagles.
    American journal of veterinary research, 2018, Volume: 79, Issue:9

    Topics: Animals; Atracurium; Capnography; Dexmedetomidine; Dogs; Edrophonium; Hypercapnia; Male; Neuromuscul

2018
Rapid chemical antagonism of neuromuscular blockade by L-cysteine adduction to and inactivation of the olefinic (double-bonded) isoquinolinium diester compounds gantacurium (AV430A), CW 002, and CW 011.
    Anesthesiology, 2010, Volume: 113, Issue:1

    Topics: Alkenes; Animals; Atracurium; Chemical Phenomena; Cholinesterase Inhibitors; Chromatography, High Pr

2010
Effects of edrophonium and neostigmine on neuromuscular block in the cat.
    Acta pharmacologica et toxicologica, 1958, Volume: 14, Issue:4

    Topics: Animals; Cats; Edrophonium; Felis; Muscle Relaxants, Central; Neostigmine; Neuromuscular Blockade; N

1958
The neuromuscular blocking action of benzoquinonium chloride in the cat and in the hen.
    British journal of pharmacology and chemotherapy, 1958, Volume: 13, Issue:4

    Topics: Acetylcholine; Animals; Cats; Chickens; Cholinesterase Inhibitors; Cholinesterases; Edrophonium; Fem

1958
THE AGGRAVATING EFFECT OF SOME ANTIBIOTICS ON THE NEUROMUSCULAR BLOCKADE IN MYASTHENIA GRAVIS.
    Acta neurologica Scandinavica, 1964, Volume: 40, Issue:4

    Topics: Anti-Bacterial Agents; Dihydrostreptomycin Sulfate; Edrophonium; Kanamycin; Myasthenia Gravis; Neost

1964
Effects of cisatracurium in children during halothane-nitrous oxide anesthesia.
    Journal of clinical anesthesia, 1998, Volume: 10, Issue:3

    Topics: Anesthesia Recovery Period; Anesthesia, Inhalation; Anesthetics, Inhalation; Antidotes; Atracurium;

1998
Which is better in children: edrophonium or neostigmine?
    British journal of anaesthesia, 2000, Volume: 84, Issue:2

    Topics: Child; Cholinesterase Inhibitors; Edrophonium; Humans; Neostigmine; Neuromuscular Blockade

2000
Anaphylaxis caused by neostigmine.
    Anaesthesia, 2000, Volume: 55, Issue:10

    Topics: Anaphylaxis; Cholinesterase Inhibitors; Edrophonium; Humans; Neostigmine; Neuromuscular Blockade

2000