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利多卡因(40mg)混合预防丙泊酚注射痛对罗库溴铵插管条件和起效时间的影响。

Effect of lidocaine (40 mg) mixed to prevent injection pain of propofol on the intubating conditions and onset time of rocuronium.

机构信息

Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

出版信息

Korean J Anesthesiol. 2013 Jan;64(1):29-33. doi: 10.4097/kjae.2013.64.1.29. Epub 2013 Jan 21.

Abstract

BACKGROUND

To analyze how lidocaine 40 mg mixed prevents injection pain of propofol affects the onset time of rocuronium, tracheal intubating conditions and intubation related hemodynamic changes.

METHODS

This study consisted of 70 patients with an American Society of Anesthesiologists (ASA) physical status class 1 or 2 for general anesthesia. All the patients were randomly allocated into two groups: propofol 2 mg/kg plus normal saline 2 ml (Group C) and propofol 2 mg/kg plus 2% lidocaine 40 mg (Group L). Each group was administrated intravenously during induction and the patient was intubated 1 minute after an injection of 0.6 mg/kg of rocuronium. The time at disappearance of the first twitch and intubation scores were recorded. Also, blood pressure and heart rate were measured at the baseline, after intravenous injection of propofol, before intubation, and at 0, 1, 2, 3 and 5 minutes after intubation.

RESULTS

There were no significant differences between group C and L (P > 0.05).

CONCLUSIONS

40 mg of lidocaine mixed with propofol to prevent injection pain did not affect the onset time of rocuronium, intubating conditions and intubation related hemodynamic changes.

摘要

背景

分析 40mg 利多卡因混合预防丙泊酚注射痛对罗库溴铵起效时间、气管插管条件和插管相关血流动力学变化的影响。

方法

本研究纳入了 70 例全身麻醉美国麻醉医师协会(ASA)分级 1 或 2 级的患者。所有患者随机分为两组:丙泊酚 2mg/kg 加生理盐水 2ml(C 组)和丙泊酚 2mg/kg 加 2%利多卡因 40mg(L 组)。两组均在诱导时静脉注射,在注射 0.6mg/kg 罗库溴铵后 1 分钟进行插管。记录首搐消失时间和插管评分。同时,在基础状态、丙泊酚静脉注射后、插管前、插管后 0、1、2、3 和 5 分钟测量血压和心率。

结果

C 组和 L 组之间无显著差异(P>0.05)。

结论

40mg 利多卡因混合丙泊酚预防注射痛不影响罗库溴铵的起效时间、插管条件和插管相关血流动力学变化。

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