MedPath

Cisatracurium

Generic Name
Cisatracurium
Brand Names
Nimbex
Drug Type
Small Molecule
Chemical Formula
C53H72N2O12
CAS Number
96946-41-7
Unique Ingredient Identifier
QX62KLI41N
Background

Cisatracurium is a non-depolarising neuromuscular blocking agent of the benzylisoquinolinium class, available in its salt form, cisatracurium besylate. Cisatracurium has an intermediate duration of action and is one of the most commonly used neuromuscular blocking agents in intensive care.. Cisatracurium acts on cholinergic receptors, blocking neuromuscular transmission. This action is antagonized by acetylcholinesterase inhibitors such as neostigmine. Cisatracurium is an R-cis-R-cis isomer of atracurium and has approximately 3 times its neuromuscular blocking potency. Compared to atracurium, cisatracurium produces a lower degree of histamine release.

Indication

Cisatracurium is indicated as an adjunct to general anesthesia to facilitate tracheal intubation in adults and pediatric patients 1 month to 12 years of age. Cisatracurium is also indicated to provide skeletal muscle relaxation during surgery in adults and pediatric patients 2 to 12 years of age as a bolus or infusion maintenance and for mechanical ventilation in the ICU in adults.

Associated Conditions
-
Associated Therapies
General Anesthesia, Skeletal muscle relaxation for mechanical ventilation, Smooth muscle relaxation prior to radiological procedures therapy

THe Comparison of Target Controlled Infusion of Propofol or Etomidate at General Anesthesia in Geriatric Patients

Phase 4
Conditions
Adrenal Suppression
Hemodynamic Instability
Interventions
Drug: Remifentanil
Drug: Cisatracurium
Drug: Sufentanil
Device: Bispectral index(BIS) monitor
First Posted Date
2014-04-11
Last Posted Date
2014-04-14
Lead Sponsor
Second Affiliated Hospital of Xi'an Jiaotong University
Target Recruit Count
90
Registration Number
NCT02111265

A Study of Residual Curarization Incidence in China

Phase 4
Conditions
Perioperative/Postoperative Complications
PORC (Postoperative Residual Curarization)
Interventions
Drug: Vecuronium Bromide
Drug: Cisatracurium
Drug: Rocuronium
First Posted Date
2012-09-21
Last Posted Date
2013-05-24
Lead Sponsor
Peking University First Hospital
Target Recruit Count
6090
Registration Number
NCT01690338
Locations
🇨🇳

Tongji Hospital, Tongji Medical College of HUST, Wuhan, Hubei, China

🇨🇳

The Second Xiangya Hospital of Central South University, Changsha, Hunan, China

🇨🇳

Xiangya Hospital of Central South University, Changsha, Hunan, China

and more 19 locations

Comparison Between Cisatracurium and Rocuronium in Terms of Recovery of the Muscular Strength in the Postoperative Phase After Surgery and General Anaesthesia

Phase 4
Completed
Conditions
Postoperative Residual Curarization
Residual Neuromuscular Block
Interventions
First Posted Date
2012-07-27
Last Posted Date
2014-03-11
Lead Sponsor
Azienda Ospedaliera di Padova
Target Recruit Count
120
Registration Number
NCT01651572
Locations
🇮🇹

Azienda Ospedaliera di Padova, Padova, Italy

Effects of Neuromuscular Blocking Agents (NMBA) on the Alteration of Transpulmonary Pressures at the Early Phase of Acute Respiratory Distress Syndrome (ARDS)

Phase 4
Conditions
Acute Respiratory Distress Syndrome
Interventions
Drug: NIMBEX
Other: WITHOUT NIMBEX
First Posted Date
2012-04-09
Last Posted Date
2014-09-01
Lead Sponsor
Assistance Publique Hopitaux De Marseille
Target Recruit Count
40
Registration Number
NCT01573715
Locations
🇫🇷

Assistance Publique Hopitaux de Marseille, Marseille, France

Effect of Cisatracurium Versus Atracurium on Intraocular Pressure in Patients Underwent General Anesthesia

Phase 2
Completed
Conditions
Intraocular Pressure
Interventions
First Posted Date
2011-01-11
Last Posted Date
2011-01-11
Lead Sponsor
Isfahan University of Medical Sciences
Target Recruit Count
90
Registration Number
NCT01273831
Locations
🇮🇷

Al-zahra university hospital, Isfahan, Iran, Islamic Republic of

Pediatric Elective Intubation With and Without Muscle Relaxation Utilizing the Shikani Optical Stylet

Not Applicable
Terminated
Conditions
Intubation,Endotracheal
Interventions
Drug: Normal saline
Drug: Cisatracurium
First Posted Date
2009-06-03
Last Posted Date
2020-08-18
Lead Sponsor
Rady Children's Hospital, San Diego
Target Recruit Count
34
Registration Number
NCT00912990
Locations
🇺🇸

Rady Children's Hospital, San Diego, California, United States

Systematic Early Use of Neuromuscular Blocking Agents in ARDS Patients

Phase 4
Completed
Conditions
ARDS
Interventions
First Posted Date
2006-03-07
Last Posted Date
2008-10-10
Lead Sponsor
Assistance Publique Hopitaux De Marseille
Target Recruit Count
340
Registration Number
NCT00299650
Locations
🇫🇷

Réanimation chirurgicale, Nimes, France

🇫🇷

Réanimation Polyvalente, Avignon, France

🇫🇷

Hôpital de la Tronche - Réanimation médicale, Grenoble, France

and more 13 locations
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