锁骨下阻滞术后迟发性局部麻醉药毒性反应
Late Local Anaesthetic Toxicity After Infraclavicular Block Procedure.
作者信息
İnceöz Hansa, Tutal Zehra Baykal, Babayiğit Münire, Kepek Akın, Horasanlı Eyüp
机构信息
Clinic of Anaesthesiology and Reanimation, Keçiören Training and Research Hospital, Ankara, Turkey.
出版信息
Turk J Anaesthesiol Reanim. 2015 Jun;43(3):199-201. doi: 10.5152/TJAR.2015.50023. Epub 2015 Feb 16.
Abstract
Local anaesthetic (LA) toxicity is the most fatal complication of peripheral nerve block techniques. Accidental intravascular application or use of doses above the safety range are the most common cause of toxicity. Bupivacaine is a long-acting LA frequently used for long procedures or those associated with significant post-procedural pain. Fatal central nervous system and cardiovascular system toxicity are described. In this paper, we reported a young patient who showed LA toxicity symptoms 7 h after an infraclavicular peripheral block.
摘要
局部麻醉药（LA）毒性是周围神经阻滞技术最致命的并发症。意外血管内注射或使用超出安全范围的剂量是毒性最常见的原因。布比卡因是一种长效局部麻醉药，常用于长时间手术或与术后明显疼痛相关的手术。有致命的中枢神经系统和心血管系统毒性的相关描述。在本文中，我们报告了一名年轻患者，其在锁骨下周围神经阻滞后7小时出现了局部麻醉药毒性症状。
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Intravenous lipid emulsion for local anesthetic toxicity: a review of the literature.静脉注射脂质乳剂用于局部麻醉药中毒：文献综述
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Infraclavicular block causes less discomfort than axillary block in ambulatory patients.在门诊患者中，锁骨下阻滞比腋路阻滞引起的不适更少。
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