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Leonard F. Walts, MD; Norman Levin, MD; John B. Dillon, MD

JAMA. 1970;213(11):1894-1896.

Abstract
The major hazard in the use of curare-like drugs in anesthesia is the failure to antagonize residual muscle weakness. We have shown that the head-raising test is not always a reliable index of curare recovery. On the other hand, a sustained muscular contraction in response to tetanic nerve stimulation could always be correlated with greater than 90% recovery in vital capacity and maximum voluntary ventilation. We recommend that in the event a patient cannot maintain a tetanic contracture, residual effects from the administration of curare should be treated with an anticholinesterase drug.

Author Affiliations
From the Division of Anesthesiology, UCLA School of Medicine, Los Angeles.

Footnotes
Reprint requests to UCLA School of Medicine, Los Angeles 90024 (Dr. Walts).

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ABSTRACT