Derivative of pancuronium, provide muscle relaxation for ET intubation
Mechanism of Action:
Competes with acetylcholine for cholinergic receptor sites on the post-junctional membrane. This completion results in paralysis of muscle fibers served by the occupied neuromuscular junction. Does not cause initial depolarization wave, as does succinylcholine
Onset of Action:
Onset: <1 min
Peak: 3-5 min
Duration: 25-40 min
Half Life: 30-80 min
Indications:
Facilitate paralysis for endotracheal intubation
Contraindications:
Known hypersensitivity to drug
Precautions:
Persons skilled in ET intubation present, Emergency resuscitative drugs available, Paralysis occurs in 1 minute and lasts 30 minutes