Pancuronium
Pancuronium is a long-acting, non-depolarizing neuromuscular blocker with significant vagolytic activity, causing dose-dependent tachycardia. Its duration (60–100 minutes) and renal/hepatic elimination limit use today. Unlike vecuronium, it cannot be reversed with sugammadex. Best avoided in coronary artery disease or when hemodynamic stability is desired.
