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氯胺酮后遗症。评估各种术前用药减轻其精神作用的能力。

Ketamine sequelae. Evaluation of the ability of various premedicants to attenuate its psychic actions.

作者信息

Lilburn J K, Dundee J W, Nair S G, Fee J P, Johnston H M

出版信息

Anaesthesia. 1978 Apr;33(4):307-11. doi: 10.1111/j.1365-2044.1978.tb12412.x.

DOI:10.1111/j.1365-2044.1978.tb12412.x
PMID:27120
Abstract

The ability of a number of drugs to abolish the emergence delirium and unpleasant dreams which follow anaesthesia induced with 2 mg/kg ketamine was studied. These included three benzodiazepines, droperidol and 'neurolept' combinations and four commonly-used premedicants. When given intravenously 10 min before induction of anaesthesia flunitrazepam and lorazepam gave best results. In a subsequent study, these two benzodiazepines and diazepam were given intravenously 30-40 min before induction of anaesthesia. There was no doubt that 4 mg lorazepam gave the greatest protection and is worthy of further study in this respect.

摘要

研究了多种药物消除由2mg/kg氯胺酮诱导麻醉后出现的谵妄和不愉快梦境的能力。这些药物包括三种苯二氮䓬类药物、氟哌利多和“神经安定”合剂以及四种常用的术前用药。在麻醉诱导前10分钟静脉给药时,氟硝西泮和劳拉西泮效果最佳。在随后的研究中,这两种苯二氮䓬类药物和地西泮在麻醉诱导前30 - 40分钟静脉给药。毫无疑问,4mg劳拉西泮提供了最大程度的保护,在这方面值得进一步研究。

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