Pipecuronium bromide

Pipecuronium Bromide is a non-depolarizing neuromuscular-blocking drug or neuromuscular-blocking agent used in modern anaesthesia, to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation. It is a bisquaternary ammonium compound and a dibenzyltetrahydroisoquinolinium agent.

Pharmacology

Pipecuronium Bromide is a long-acting, non-depolarizing skeletal muscle relaxant. It works by blocking the action of acetylcholine on the motor end-plate at the neuromuscular junction, which prevents the transmission of nerve impulses and leads to muscle relaxation.

Clinical Use

Pipecuronium Bromide is used in a clinical setting primarily to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation. It is also used in the management of critically ill patients in the Intensive Care Unit (ICU).

Side Effects

Like other neuromuscular-blocking agents, Pipecuronium Bromide can cause a range of side effects, including hypotension, tachycardia, and bronchospasm. It can also cause an allergic reaction in some patients.

Contraindications

Pipecuronium Bromide is contraindicated in patients with known hypersensitivity to the drug or its components. It is also contraindicated in patients with myasthenia gravis or other neuromuscular disorders.

Drug Interactions

Pipecuronium Bromide can interact with other drugs, including certain antibiotics, calcium channel blockers, and magnesium sulfate. These interactions can alter the effectiveness of the drug and increase the risk of side effects.

See Also

• Neuromuscular-blocking drug
• Endotracheal intubation
• Acetylcholine
• Motor end-plate
• Neuromuscular junction

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  Pipecuronium bromide chemical structure

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  Pipecuronium bromide ball-and-stick model