Estimation of the potency of ORG 9426 using two different modes of nerve stimulation

Abstract

The potency of ORG 9426, a new nondepolarising muscle relaxant, has been estimated using two different modes of nerve stimulation in patients anaesthetised with thiopentone, nitrous oxide-oxygen and intravenous fentanyl. The force of contraction of adductor pollicis was measured following a single twitch (ST) at 0.1 Hz or a train-of-four (TOF) mode of stimulation at 2 Hz every ten seconds. Dose-response curves were constructed using a single-dose method. The ED50, ED90 and ED95 were 147, 272 and 305 μg · kg-1 respectively using the ST mode and 125, 230 and 257 μg · kg-1 using the TOF mode of stimulation. The ED50s were not significantly different but the differences between ED90s and ED95s were significant (P <0.05) indicating greater sensitivity of the neuromuscular junction using TOF stimulation. The results of this study suggest that the information obtained by single-twitch stimulation is not the same as that obtained from the first response of the TOF stimulation, suggesting apparently increased sensitivity (and apparently greater potency) with the TOF mode of stimulation. Org 9426 appears to be a drug with relatively low potency. © 1992 Canadian Anesthesiologists.