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Anaesthesia General 7d136e1f

Atracurium is metabolized by -

A
Conjugation
B
Hoffman degradation
C
Pseudocholineaterase
D
Methylation
High-Yield Explanation
Ans. B. Hoffman degradationThe unique feature of atracurium is inactivation in plasma by spontaneous non enzymatic degradation (Hofmann elimination).Consequently its duration of action is not altered in patients with hepatic/renal insufficiency or hyperdynamic circulation ---> Hence, preferred muscle relaxant for such patients as well as for neonates and the elderly.Atracuum is metabolised to laudanosine that is responsible for seizures.Cause histamine release > Hypotension, bronchoconstriction & flushing.

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