CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Anest. intenziv., Med., 16, 2005, č. 5, s. 242–245. |
Curare: Alternative methods of administration Hess L.1, Rogozov V.2, Svítek M.3, Schreiberová J.4 1CEM IKEM, Praha 2KAR, IKEM Praha 3KAR VNF Praha 4Klinika anesteziologie, resuscitace a intenzivní medicíny, FN Hradec Králové |
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Summary: Nowadays curare-related drugs are usually administered intravenously. South-American Indians used to
use curare intramuscularly and indeed the early researchers studied this route of administration. As late
as in the 19th and in the first half of the 20th century curare was given intramuscularly for the treatment of
tetanus and for muscle relaxation during surgery. Suxamethonium was used in the 1950s for immobilisation
of large animals. Several minutes after administration, immobilisation was achieved with the consciousness
of the animal preserved. Nowadays the intramuscular administration of neuromuscular blocking
drugs is reserved for emergency situations, mostly in paediatrics. More alternative methods (such as
intratracheal and intraosseous) are being studied.
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