Shortest acting muscle relaxant –
**Core Concept**
Muscle relaxants are a class of medications used to relax muscles and relieve spasms. They act by inhibiting the transmission of nerve impulses to muscles, thereby reducing muscle tone and spasms. The duration of action of muscle relaxants varies, with some acting rapidly and others lasting longer.
**Why the Correct Answer is Right**
The shortest-acting muscle relaxant is succinylcholine, which acts by activating nicotinic acetylcholine receptors at the neuromuscular junction, leading to depolarization and muscle relaxation. Succinylcholine has a rapid onset of action, typically within 1-2 minutes, and its effects last for approximately 4-6 minutes. This makes it ideal for short procedures requiring muscle relaxation, such as endotracheal intubation.
**Why Each Wrong Option is Incorrect**
**Option A:** Vecuronium is a long-acting non-depolarizing muscle relaxant, with a duration of action of around 30-60 minutes.
**Option B:** Rocuronium is a non-depolarizing muscle relaxant with a rapid onset of action, but its duration of action is longer than succinylcholine, lasting around 30-60 minutes.
**Option C:** Atracurium is a non-depolarizing muscle relaxant with an intermediate duration of action, lasting around 20-40 minutes.
**Clinical Pearl / High-Yield Fact**
Succinylcholine is a depolarizing muscle relaxant, which means it acts by activating acetylcholine receptors at the neuromuscular junction, leading to muscle relaxation. This is in contrast to non-depolarizing muscle relaxants, which inhibit acetylcholine receptors and prevent muscle contraction.
**Correct Answer: D. Succinylcholine**