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Pharmacokinetic properties of aminosteroid nondepolarizing neuromuscular blocking agents in infants, children, and adults*

Pharmacokinetic properties of aminosteroid nondepolarizing neuromuscular blocking agents in infants, children, and adults*
  Rocuronium Vecuronium
Infant Child Adult Elderly Infant Child Adult Elderly
ED95 (mg/kg) 0.3 0.4 0.3 0.3 0.05 0.08 0.05 0.05
VD (L/kg) 0.2 0.17 0.3 to 0.7 0.2 to 0.6 0.35 0.20 0.4 0.3
t½-Beta (minutes) 50 to 110 25 to 110 100 to 250 110 to 280 65 41.0 65 to 75 70 to 180
Onset time (minutes) 0.6 1.3 1.5 to 3 2 to 5 1.5 2.4 3 to 4 3 to 4
Dosing interval (minutes) 42 to 100 27 30 to 70 22 to 73 59 37 25 to 50 49 to 97
Onset times and dosing intervals are averages for a 2 × ED95 dose. Infant: 0 to 1 year; Child: 1 to 18 years; Adult: 18 to 65 years; Elderly: >65 years.
ED95: effective dose required to achieve 95% depression in evoked twitch response; VD: volume of distribution; t½-Beta: elimination half-life.
* The data are averages obtained from published literature and do not account for other influences such as volatile anesthetics, organ dysfunction, etc.
Adapted from: Brull SJ. Neuromuscular blocking agents. In: Clinical Anesthesia, 8th ed, Barash PG, Cullen BF, Stoelting RK, et al (Eds), Wolters Kluwer 2017. p.527.
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