General anaesthesia with intubation with RAE tube is preferred in children undergoing cleft lip and palate surgeries. Neuromuscular blocking drugs (NMBDs), are given to infants and children to attain ideal intubating conditions by providing adequate muscle relaxation. In contrast to routinely used atracurium,cisatracurium is comparatively a newer drug with lesser histamine release. The study was designed with the aim to compare the efficacy of atracurium (2×ED95) and cisatracurium (4×ED95).90 patients, 6 months-5 years , ASA class I &II were randomly allocated to cisatracurium and atracurium group. After administration of induction agent, dose of neuromuscular blocking drug atracurium 0.5mg/kg or cisatracurium 0.2mg/kg was given to the patients. The intubating conditions were graded using ‘Cooper et al’ scoring system.Neuromuscular blockade was assesed using train of four ratio. Alongwith intubating conditions, onset and duration of action, hemodynamic effects, and signs of histamine release were measured in both the groups.In the atracurium group the mean score according to ‘Cooper et al’scale was 6.86±0.54,whereas in the cisatracurium group it was 8.12±0.64, the difference between the groups was statistically significant.Time of onset was found to be 2.7±0.12 minutes in the cisatracurium group and 3.28±0.64 minutes in the atracurium group.Duration of action was 64.6±6.18minutes in the cisatracurium group as compared to 35.4±4.64minutes in the atracurium group.Cisatracurium(0.2mg/kg) is more efficacious as compared to atracurium(0.5mg/kg)with respect to intubating conditions, it has a faster onset of action, good intraoperative hemodynamic parameters, longer duration of action with no side effects.
Cite this article:
Shruti Shrey, Amol Singam. A Comparative Study of Atracurium and Cisatracurium in paediatric cleft Lip and Cleft palate surgeries. Research J. Pharm. and Tech 2020; 13(2):867-870. doi: 10.5958/0974-360X.2020.00164.X
Shruti Shrey, Amol Singam. A Comparative Study of Atracurium and Cisatracurium in paediatric cleft Lip and Cleft palate surgeries. Research J. Pharm. and Tech 2020; 13(2):867-870. doi: 10.5958/0974-360X.2020.00164.X Available on: https://rjptonline.org/AbstractView.aspx?PID=2020-13-2-68