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硬膜外镇痛和麻醉。

Epidural analgesia and anesthesia.

作者信息

Torske K E, Dyson D H

机构信息

Department of Clinical Studies (Anesthesiology), Ontario Veterinary College, University of Guelph, Canada.

出版信息

Vet Clin North Am Small Anim Pract. 2000 Jul;30(4):859-74. doi: 10.1016/s0195-5616(08)70011-1.

Abstract

This review describes the beneficial effects of the use of epidural drugs for pre-emptive analgesia, intraoperative analgesia with an inhalant-sparing effect, and prolonged postoperative analgesia. Epidural morphine oxymorphone, or hydromorphone is recommended for use in small animals in combination with a local anesthetic of appropriate duration for procedures involving the hind end, although epidural morphine or hydromorphone may be more appropriate for procedures on the thorax and forelimbs. Side effects are few and can usually be easily managed, with the benefits outweighing any detrimental effects that might occur.

摘要

本综述描述了硬膜外给药用于超前镇痛、具有减少吸入麻醉药用量效果的术中镇痛以及延长术后镇痛的有益作用。推荐在小动物中使用硬膜外吗啡、羟吗啡酮或氢吗啡酮,并联合使用作用时间合适的局部麻醉药,用于涉及后肢的手术,不过硬膜外吗啡或氢吗啡酮可能更适用于胸部和前肢的手术。副作用较少,通常易于处理,其益处超过可能出现的任何有害影响。

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