Active Ingredient: Vecuronium
Vecuronium is indicated as an adjunct to general anaesthesia to facilitate tracheal intubation and to provide skeletal muscle relaxation during surgery in adults, neonates, infants, children and adolescents.
For this indication, competent medicine agencies globally authorize below treatments:
Intravenous
0.01 - 0.1 mg per kg of body weight
From 0.01 To 0.1 mg per kg of body weight once every day
Because of the possible variations of the sensitivity of the neuromuscular junction, especially in neonates and probably in infants up to 4 months of age, an initial test dose of 10–20 micrograms vecuronium bromide per kg body weight followed by incremental doses until 90 to 95% depression of twitch response is achieved is recommended. In neonatal surgery the dose should not exceed 100 micrograms/kg.
Dose requirements in older infants (5-23 months) are the same as in adults. However, since the onset time of vecuronium in these patients is considerably shorter than in adults and children, the use of high intubating doses in general is not required for early development of good intubating conditions.
Since the duration of action and recovery time with vecuronium is longer in neonates and infants than in children and adults, maintenance doses are required less frequently.
There are insufficient data to support dose recommendations for the use of vecuronium bromide in preterm newborn infants.
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