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[臂丛神经阻滞后罗哌卡因诱发惊厥]

[Convulsions induced by ropivacaine after brachial plexus block].

作者信息

Recasens Urbez J, Ferrer Gómez C, Puig Bitria R, Jubera Ortiz de Landázuri P, Boada Pie S, Rull Bartomeu M

机构信息

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitari Joan XXIII, Tarragona.

出版信息

Rev Esp Anestesiol Reanim. 2004 Nov;51(9):553-5.

PMID:15620167
Abstract

Ropivacaine is a local anesthetic frequently used to provide regional blocks because its toxicity threshold is favorable and it is highly selective for sensory nerve fibers. Few reports of adverse events and complications related to use of ropivacaine have been published. We report 2 cases of central nervous system toxicity. Each occurred after a brachial plexus block with 0.75% ropivacaine, one performed by an axillary approach and one by an infraclavicular approach with nerve stimulation.

摘要

罗哌卡因是一种常用于提供区域阻滞的局部麻醉药,因为其毒性阈值良好,且对感觉神经纤维具有高度选择性。关于使用罗哌卡因的不良事件和并发症的报道很少。我们报告2例中枢神经系统毒性病例。每例均发生在使用0.75%罗哌卡因进行臂丛神经阻滞后,1例采用腋路法,1例采用锁骨下神经刺激法。

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