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  • Title: Metocurine in infants and children: neuromuscular and clinical effects.
    Author: Goudsouzian NG, Liu LM, Savarese JJ.
    Journal: Anesthesiology; 1978 Oct; 49(4):266-9. PubMed ID: 697081.
    Abstract:
    A cumulative dose--response curve for metocurine based on body weight was determined in 30 infants and children during halothane (1.2 per cent inspired), nitrous oxide and oxygen (60/40 per cent) anesthesia. The mean and range of twitch depression and time for recovery from maximal neuromuscular blockade were not significantly different over an age range from newborn to 7 years. Metocurine is twice as potent as d-tubocurarine in children, and their requirement is more than that for adults. The rate of recovery from metocurine in children was the same as that from d-tubocurarine. In another 30 children, use of metocurine at a large dose (0.5 mg/kg) for endotracheal intubation caused no significant change in blood pressure or pulse rate. Cardial arrhythmias were not seen.
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