Had a patient on vecuronium tonight. Paralyzed, no longer bucking the vent. However, he started developing a paralytic ileus (bowel sounds very hypoactive--large residuals--tube feedings had to be turned off.) Can vercuronium also paralyze the smooth involuntary GI track muscles????
P.S. What about the heart---if one were to get too big of a dose:eek: We try to keep the level of paralysis within a narrow confine by the train of four (peripheral nerve stimulator).