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Vecuronium Bromide is a non-depolarizing, intermediate-acting neuromuscular blocking agent used as an adjunct to general anesthesia for endotracheal intubation and skeletal muscle relaxation during surgery. It acts by competitively binding to cholinergic receptors at the motor endplate, blocking neuromuscular transmission, which is reversible by acetylcholinesterase inhibitors. Compared to pancuronium, vecuronium is approximately 1.3 times more potent but has a shorter duration of action. A key advantage is its lack of significant cardiovascular effects—it does not cause tachycardia or blood pressure changes at clinical doses, making it suitable for patients with ischemic heart disease. Histamine release is minimal, and allergic reactions are rare. The standard intubating dose is 0.08–0.1 mg/kg IV, with onset within 1 minute, good intubating conditions at 2.5–3 minutes, and clinical duration of 25–40 minutes. Maintenance doses of 0.01–0.015 mg/kg show no cumulative effect.
Fig. 1 The effects of Vecuronium on heart rate at rat atrial tissue. (Gursoy S.; et al. 2011)
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