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[新生儿术中及术后护理的硬膜外镇痛]

[EPIDURAL ANALGESIA FOR INTRAOPERATIVE AND POSTOPERATIVE CARE IN NEWBORNS].

作者信息

Sichkar S Yu, Afukov I I, Stepanenko S M

出版信息

Anesteziol Reanimatol. 2015 May-Jun;60(3):65-70.

Abstract

Anesthesia care in newborns has to be complex, balanced and safe. Nowadays epidural analgesia (EA) in neonates during intra- and postoperative period is widely used in Russia. Modern EA techniques imply the installation of a catheter into epidural space at lumbar or thoracic level as well as different approach to local anesthetics dosage. Newborns have special anatomy, physiology and pharmacodynamics which have to be taken in mind when EA is used. At the present moment Ropivacine (2 mg/ml) is approved for peripheral nerve blocks in newborns.

摘要

新生儿的麻醉护理必须复杂、平衡且安全。如今,俄罗斯在新生儿围手术期广泛使用硬膜外镇痛(EA)。现代EA技术意味着在腰段或胸段硬膜外间隙置入导管,以及采用不同的局部麻醉药给药方法。新生儿具有特殊的解剖学、生理学和药效学特点,在使用EA时必须予以考虑。目前,罗哌卡因(2毫克/毫升)已被批准用于新生儿的外周神经阻滞。

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