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依替卡因用于硬膜外阻滞的评估。

Evaluation of etidocaine in extradural block.

作者信息

Abdel-Salam A R, Vonwiller J B, Scott D B

出版信息

Br J Anaesth. 1975 Oct;47(10):1081-6. doi: 10.1093/bja/47.10.1081.

DOI:10.1093/bja/47.10.1081
PMID:1106739
Abstract

Etidocaine has been evaluated in extradural block with regard to its absorption, toxicity and clinical effectiveness, which have been compared with those of bupivacaine. Etidocaine is associated with lower plasma concentrations than bupivacaine and its absorption is decreased by the addition of adrenaline 1:200,000 to a greater extent than is the case with bupivacaine. Etidocaine causes motor paralysis more frequently than does bupivacaine, especially if adrenaline is added. The duration of action of the two drugs is similar when comparing etidocaine 1% and bupivacaine 0.5%. Bupivacaine 0.75%, however, acts for a significantly longer time than etidocaine 1%. The drug is a useful addition to the range of local anaesthetics, especially with regard to the degree of motor blockade it can achieve during surgical procedures.

摘要

已对依替卡因在硬膜外阻滞中的吸收、毒性和临床疗效进行了评估,并与布比卡因的这些特性进行了比较。与布比卡因相比,依替卡因的血浆浓度较低,并且加入1:200,000的肾上腺素后,其吸收减少的程度比布比卡因更大。依替卡因比布比卡因更常引起运动麻痹,尤其是在加入肾上腺素的情况下。比较1%依替卡因和0.5%布比卡因时,两种药物的作用持续时间相似。然而,0.75%布比卡因的作用时间明显长于1%依替卡因。该药物是局部麻醉药系列中的一种有用补充,特别是在手术过程中它所能达到的运动阻滞程度方面。

相似文献

1
Evaluation of etidocaine in extradural block.依替卡因用于硬膜外阻滞的评估。
Br J Anaesth. 1975 Oct;47(10):1081-6. doi: 10.1093/bja/47.10.1081.
2
Comparison of bupivacaine and etidocaine in extradural blockade.布比卡因与依替卡因用于硬膜外阻滞的比较。
Br J Anaesth. 1984 Feb;56(2):147-53. doi: 10.1093/bja/56.2.147.
3
Comparative study with etidocaine and bupivacaine in epidural block.依替卡因与布比卡因硬膜外阻滞的对比研究。
Acta Anaesthesiol Scand Suppl. 1975;60:55-9.
4
The effects of adding adrenaline to etidocaine and lignocaine in extradural anaesthesia II: Pharmacokinetics.
Br J Anaesth. 1976 Oct;48(10):989-94. doi: 10.1093/bja/48.10.989.
5
Effects of extradural block: comparison of the properties, circulatory effects and pharmacokinetics of etidocaine and bupivacaine.硬膜外阻滞的效应:依替卡因与布比卡因的特性、循环效应及药代动力学比较
Br J Anaesth. 1976 Jun;48(6):575-86. doi: 10.1093/bja/48.6.575.
6
Intercostal blocks with etidocaine. Preliminary report.
Acta Anaesthesiol Scand Suppl. 1975;60:39-42. doi: 10.1111/j.1399-6576.1975.tb05404.x.
7
Epidural anesthesia for surgery: a comparative double-blind study of etidocaine and bupivacaine.手术硬膜外麻醉:依替卡因与布比卡因的双盲对照研究
Acta Anaesthesiol Belg. 1977;28(2):61-74.
8
Comparison between bupivacaine and etidocaine in lumbar epidural block for urological surgery.布比卡因与依替卡因用于泌尿外科手术腰段硬膜外阻滞的比较。
Acta Anaesthesiol Scand Suppl. 1975;60:68-71.
9
Effects of adrenaline and the concentration of solution on extradural block with etidocaine.肾上腺素及溶液浓度对依替卡因硬膜外阻滞的影响。
Br J Anaesth. 1978 Feb;50(2):171-5. doi: 10.1093/bja/50.2.171.
10
Epidural block with etidocaine for labour and delivery.依替卡因用于分娩的硬膜外阻滞
Acta Anaesthesiol Scand Suppl. 1975;60:89-93.

引用本文的文献

1
[Toxicology of local anesthetics. Clinical, therapeutic and pathological mechanisms].[局部麻醉药的毒理学。临床、治疗及病理机制]
Anaesthesist. 2003 Dec;52(12):1102-23. doi: 10.1007/s00101-003-0617-5.
2
Clinical pharmacokinetics of epidural and spinal anaesthesia.
Clin Pharmacokinet. 1989 May;16(5):283-311. doi: 10.2165/00003088-198916050-00002.
3
Clinical pharmacokinetics of local anaesthetics.局部麻醉药的临床药代动力学
Clin Pharmacokinet. 1979 Jul-Aug;4(4):241-78. doi: 10.2165/00003088-197904040-00001.