Neostigmine
It works by inhibiting the enzyme acetylcholinesterase, which breaks down the neurotransmitter acetylcholine, thereby increasing the concentraton of acetylcholine at the neuromuscular junction and enhancing neurlomascular transmission.
Neostigmine is also employed as a research tool to study cholinergic mechanisms.
Optimal use of Neostigmine in research can be facilitated by PubCompare.ai, an AI-driven solution that helps locate the best protocols and products from literature, preprints, and patents to enhance reproducibility and accuracy, taking the guesswork out of Neostigmine research.
Most cited protocols related to «Neostigmine»
Reference cholinesterase inhibitors were used for the calculations of results (eserine, neostigmine, magniflorine, rivastigmine and donepezil). For this purpose, for each compound, 16 dilutions in pure DMSO were prepared (2.57–41.14 μg/mL). These solutions (10 μL) were tested as described above and calibration curves were produced.
Each sample was analyzed in at least eight repeats, and all solutions used in a set of analyses were prepared in the same buffer. For calculations, the background of the sample (10 μL mixed with 340 μL of Tris buffer) was measured at 405 nm and subtracted during calculations. Then, the absorbance of the test sample was subtracted from the absorbance of the “blank” sample.
Height and weight were recorded and BMI calculated. Height was measured in centimeters from vertex to heel with the patient standing.
The oropharyngeal view was assessed using:
MMT:[17 (link)] Sampson and Young's modification of Mallampati test recorded oropharyngeal structures visible upon maximal mouth opening. Each patient when seated was asked to open mouth maximally and to protrude the tongue without phonation. The view was classified as Grade 0 - epiglottis visualized, Grade 1 - good visualization of palate, fauces, uvula, and tonsillar pillars, Grade 2 - pillars obscured by the base of the tongue but the soft palate, fauces, and uvula visible, Grade 3 - soft palate and base of the uvula visible, and Grade 4 - soft palate not visible
RHTMD:[18 (link)] TMD was measured from the bony point of the mentum to thyroid notch while head was fully extended and mouth closed. RHTMD was calculated as RHTMD = height (in cm)/TMD (in cm) and graded as Grade 1 <23.5 and Grade 2 ≥23.5
Upper lip bite test:[19 (link)] ULBT was done to assess the range of freedom of the mandibular movement and the architecture of the teeth concurrently. It was done by assessing the ability of the patient to touch the vermilion line of upper lip with lower incisors. This test was graded as Class 1 - If the lower incisors could bite the upper lip above the vermilion line, Class 2 - If the lower incisors could bite the upper lip below the vermilion line, and Class 3 - If the lower incisors could not bite the upper lip
IIG:[19 (link)] It was assessed by asking each patient to open the mouth to maximum extent. The distance between upper and lower incisor at the midline is measured, which is usually >3.5 cm
TMD:[15 (link)] TMD was measured from the bony point of the mentum whereas the head is fully extended and mouth closed using a rigid ruler. The distance was rounded to nearest 0.5 cm and graded as Class 1: >6.5 cm, Class 2: 6–6.5 cm, and Class 3: <6 cm
SMD:[15 (link)] SMD was measured from sternal notch to the mentum in centimeter with head fully extended on the neck with the mouth closed which is normally >12.5 cm
Horizontal length of the mandible:[15 (link)] It was measured from angle of the mandible to the mentum. A length of ≥9 cm was considered normal
Maximum range of HNM:[11 (link)] was noted as Grade 1 ≤80° or Grade 2 ≥80°. The patient was first asked to extend the head and neck fully, where a pencil was placed vertically on the forehead and then while the pencil was held firmly in position, the head and neck were flexed.
Patients were kept nil orally for 8–10 h preoperatively. In operation theater, intravenous (IV) line was secured with 18-gauge IV cannula and Ringer's lactate infusion was started. Electrocardiogram, noninvasive blood pressure, and peripheral oxygen saturation monitor were connected to the patient, and basal heart rate, blood pressure, and oxygen saturation were recorded. Patient was premedicated with injection glycopyrrolate 0.01 mg/kg, injection midazolam 0.05 mg/kg, injection fentanyl 2 μcg/kg intravenously, and preoxygenated with 100% oxygen. Induction of anesthesia was done with injection propofol 2 mg/kg body weight intravenously and injection vecuronium 0.1 mg/kg IV was administered once mask ventilation confirmed. Laryngoscopy was done using Macintosh blade Size 3 or 4 by an experienced anesthesiologist who was blinded to preoperative airway assessment details, and the view was classified as per Cormack-Lehane's Scale:[20 ] Grade 1 - vocal cords visible, Grade 2 - only posterior commissure or arytenoids visible, Grade 3 - only epiglottis visible, and Grade 4 - none of the above visible without any external laryngeal manipulation.
Cormack and Lehane Grade 1 and 2 was considered as easy visualization whereas Grade 3 and 4 was considered as difficult visualization. A maximum of three attempts were allowed with conventional laryngoscope. In case of failure of first two attempts, third attempt was by another senior experienced anesthesiologist. If there was failure to intubate at third attempt, alternate measures such as use of supraglottic device, bougie was done as per the discretion of attending anesthesiologist. External laryngeal manipulation was used to improve visualization after first attempt. Use of additional gadgets/maneuvers during intubation was noted. Oxygenation was ensured in between attempts at intubation. Intubation was done with appropriate sized endotracheal tubes. Confirmation of intubation was done by bilateral auscultation of lung fields and capnography. Number of attempts at intubation was noted. Maintenance of anesthesia was done with oxygen, nitrous oxide, and isoflurane. At the end of surgery, isoflurane disconnected, and after adequate respiratory efforts, injection neostigmine and injection glycopyrrolate were administered to reverse neuromuscular blockade. Patient was extubated after adequate recovery and shifted to the postanesthesia care unit.
Most recents protocols related to «Neostigmine»
Anesthesia induction used propofol and/or etomidate, sufentanil, and rocuronium or cisatracurium. Anesthesia maintenance used sevoflurane or propofol combined with remifentanil or sufentanil. Rocuronium or cisatracurium was used to maintain muscle relaxation. Supplemental drugs such as flurbiprofen axetil were administered when necessary. The aim was to maintain BIS 40-60, blood pressure within 20% of baseline, and temperature 36-37°C.
Double-lumen endotracheal tube of sizes Ch33-39 was used for lung isolation according to patient height. The ventilation mode was volume control mode with 6-8 ml/kg of tidal volume (TV) during two-lung ventilation and 5-6 ml/kg during one-lung ventilation (OLA), and 0-5 cmH2O of positive end-expiratory pressure (PEEP), and 12-20 breaths/min of respiratory rates. The aim was to maintain PETCO2 35-45 mmHg and SpO2 ≥92%. At the end of anesthesia, neostigmine was used to antagonize muscular relaxant before extubation.
Fluid infusion was administrated with crystalloid at a rate of 4–6 mL/kg-1h-1. Colloids or blood product was used according to anesthesiologist’s comprehensive evaluation based on patient’s condition. Patient-controlled intravenous analgesia was used after surgery for postoperative analgesia to maintain numeric rating scales (NRS) ≤ 3 scores.
General anesthesia was performed under total intravenous anesthesia with propofol at a concentration of 1% (Propofol Fresenius®, Fresenius Kabi Deutschland GmbH, Bad Homburg, Germany) using the Schneider model of target-controlled infusion anesthesia61 (link) based on age, height, weight, and gender of the patient3 ,62 (link) implemented in a TIVA system (Alaris Asena® PK, Becton, Dickinson and Company, Franklin Lakes, New Jersey). After induction and tracheal intubation, pulmonary volume-controlled ventilation was maintained with a fraction of inspired oxygen ( ) of 0.5, a tidal volume of 6 to , a respiration rate between 12 and 16 breaths per minute, a positive end-expiratory pressure of 4 to 6 mmHg, and a MAP between 60 and 80 mmHg.
It should be noted that the patients received further medications, such as fentanyl for analgesia,63 (link)
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More about "Neostigmine"
This drug works by inhibiting the enzyme acetylcholinesterase, which breaks down the neurotransmitter acetylcholine, thereby increasing its concentration at the neuromuscular junction and enhancing neuromuscular transmission.
Neostigmine is also employed as a valuable research tool to study cholinergic mechanisms.
To optimize the use of Neostigmine in research, the AI-driven solution PubCompare.ai can be leveraged.
This tool helps researchers locate the best protocols and products from literature, preprints, and patents, enhancing reproducibility and accuracy, and taking the guesswork out of Neostigmine research.
In addition to Neostigmine, other related compounds and techniques can be valuable in research, such as Donepezil, a cholinesterase inhibitor used in the treatment of Alzheimer's disease, CMA/11 microdialysis probes for measuring neurotransmitter levels, and Nicotine, a nicotinic acetylcholine receptor agonist.
Furthermore, MRS2500, a P2Y1 receptor antagonist, and statistical software like SPSS 26.0 can be used in conjunction with Neostigmine research.
Researchers can also explore Neostigmine bromide, a salt form of Neostigmine, and AF-DX 116, a selective muscarinic M2 receptor antagonist, to gain a more comprehensive understanding of cholinergic mechanisms.
Additionally, Indomethacin, a non-steroidal anti-inflammatory drug, may be used in combination with Neostigmine to investigate its effects on various physiological processes.
By leveraging the insights gained from the MeSH term description and the Metadescription, researchers can optimize their Neostigmine research and enhance its reproducibility and accuracy.
PubCompare.ai provides an AI-driven solution to streamline this process, making it easier for researchers to navigate the vast amount of available information and choose the best protocols and products for their studies.