Contrasting Effects of Vecuronium and Succinylcholine on the Renal Microcirculation in Rodents

We assessed the effects of succinylcholine and vecuronium on renal function and on the renal microcirculation in a rodent model. Vecuronium (0.02 mg/kg followed by 0.2 mg·kg·h) caused a significant decrease of 16.1% ± 3.87% in inulin clearance from 0.92 ± 0.07 to 0.71 ± 0.05 mL·min·gKW (gram of kidney weight), and a decrease in paraaminohippuric acid clearance by 21.6% ± 4.69% from 1.58 ± 0.26 to 1.31 ± 0.20 mL·min·gKW (P < 0.05), whereas succinylcholine (0.45 mg/kg followed by 2 mg·kg·h) altered neither. The effect of these muscle relaxants was also determined on the renal microcirculation in separate experiments using videomicroscopy. Succinylcholine (n = 10; 10 to 10 M) and its parent compound, acetylcholine (n = 10, 10 to 10 M) used as a control, caused a significant vasodilation from baseline diameter in the interlobular, afferent, and efferent arterioles.The vasodilation caused by succinylcholine was significantly less than that observed with acetylcholine. Atropine blocked the response to succinylcholine, indicating the latter has a muscarinic effect. In contrast, vecuronium caused a significant, selective vasoconstriction from baseline diameter in the preglomerular vessels, but not in the postglomerular vessels. The vasoconstriction caused by vecuronium was significantly different than the vasodilation caused by succinylcholine. The preglomerular vasoconstriction observed with vecuronium may contribute to the decrease in renal plasma flow and glomerular filtration rate observed experimentally. The choice of a neuromuscular blocking drug can therefore have the potential to influence renal function by altering the renal microcirculation.