cisatracurium besylate + propofol + remifentanil + sevoflurane

This is a combination of four medications commonly used together in general anesthesia protocols: - **Cisatracurium besylate**: A non-depolarizing neuromuscular blocking agent (NMBA) with intermediate onset and duration of action. It is one of ten isomers of atracurium besylate (constituting approximately 15% of that mixture) and functions by blocking neuromuscular transmission at cholinergic receptors. It facilitates endotracheal intubation and provides skeletal muscle relaxation during surgery or mechanical ventilation. - **Propofol**: An intravenous anesthetic agent used for induction and maintenance of general anesthesia. - **Remifentanil**: A potent, short-acting synthetic opioid analgesic used during general anesthesia for pain control. - **Sevoflurane**: An inhalational anesthetic agent used for induction and maintenance of general anesthesia. This combination provides complete general anesthesia with hypnosis (propofol, sevoflurane), analgesia (remifentanil), and muscle relaxation (cisatracurium).

Brand names

Nimbex (for cisatracurium besylate component)