NUROMAX (doxacurium chloride) is a long-acting, nondepolarizing skeletal muscle relaxant for intravenous administration. Doxacurium chloride is [1α,2β(1 'S *,2 'R *)]-2,2 ' -[(1,4-dioxo-1,4-butanediyl)bis(oxy-3,1-propanediyl)]bis[1,2,3,4-tetrahydro-6,7,8-trimethoxy-2- methyl-1-[(3,4,5-trimethoxyphenyl)methyl]isoquinolinium] dichloride (meso form).
NUROMAX is a long-acting neuromuscular blocking agent, indicated to provide skeletal muscle relaxation as an adjunct to general anesthesia, for endotracheal intubation or to facilitate mechanical ventilation.
Media Articles Related to Nuromax (Doxacurium)
Scientists find what might be responsible for slow heart function under general anesthesia
Source: Cardiovascular / Cardiology News From Medical News Today [2016.05.13]
New research in The FASEB Journal suggests that general anesthesia targets certain amino acids on proteins of the heart muscle fibers and cells which directly affects the ability of the heart to pump.
A 'communication breakdown' during general anesthesia
Source: Pain / Anesthetics News From Medical News Today [2016.05.12]
It's a topic that has long captivated doctors, scientists and the public -- what exactly happens in your brain when you're oblivious on the operating table?
Conscious Sedation Same as Anesthetic for Stroke Thrombectomy
Source: Medscape Anesthesiology Headlines [2016.05.19]
SIESTA, the first randomized trial comparing general anesthesia and conscious sedation, has shown similar short-term outcomes in stroke patients undergoing endovascular treatment.
Medscape Medical News
Noninvasive monitor assesses patients' response to painful stimulation during surgery
Source: Medical Devices / Diagnostics News From Medical News Today [2016.05.16]
A novel measure for assessing the body's response to surgery may allow for better anesthesia management in the O.R.
How do anesthesiologists view acupuncture and acupressure?
Source: Anxiety / Stress News From Medical News Today [2016.05.05]
In a new study of anesthesia providers in the U.S., most report not having used or received any education in acupuncture or acupressure.
Published Studies Related to Nuromax (Doxacurium)
Pharmacokinetics of doxacurium during normothermic and hypothermic cardiopulmonary bypass surgery. [1998.06]
PURPOSE: To compare the pharmacokinetic behaviour of doxacurium in patients undergoing normothermic or hypothermic cardiopulmonary bypass (CPB) for coronary artery bypass graft surgery... CONCLUSION: The elimination rate of doxacurium during normothermic CPB is faster than that in hypothermic CPB.
Neuromuscular effects of doxacurium chloride in isoflurane-anesthetized dogs. [1998.05]
OBJECTIVE: To determine the neuromuscular effects of doxacurium chloride and to construct a dose-response curve for the drug in isoflurane-anesthetized dogs...
Pharmacokinetic-pharmacodynamic modeling of doxacurium: effect of input rate. [1997.02]
One of the basic assumptions in pharmacokinetic-pharmacodynamic modeling (PK-PD) is that drug equilibration rate constant between plasma concentration and effect (Ke0) is not changed by input rate... Our results show that PK-PD parameters derived with either a bolus or an infusion mode of administration are equally reliable.
Doxacurium pharmacodynamics in children during volatile and opioid-based anaesthesia. [1996.04]
The interaction between doxacurium and halothane, isoflurane or alfentanil has not been studied in children. Using the cumulative dose-response technique and electromyography, we determined ED50 and ED90 of doxacurium during halothane (n = 9), isoflurane (n = 12) or alfentanil (n = 9) based anaesthesia in children aged 2-10 years...
Comparison of neuromuscular, cardiovascular, and histamine-releasing properties of doxacurium and pipecuronium. [1996.03]
STUDY OBJECTIVES: To determine the neuromuscular, cardiovascular, and histamine releasing properties of doxacurium and pipecuronium at three times effective ED95 doses (3XFD95)... CONCLUSION: Neither drug caused a clinically significant change in HR or histamine release. In the doses chosen for this study, the rate of onset of block is slower with doxacurium while recovery is more rapid. Histamine release in three patients was caused by thiopental, while in a fourth patient it may have been due to doxacurium.