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儿童腋路阻滞术后血浆布比卡因浓度

Plasma bupivacaine concentrations after axillary block in children.

作者信息

Campbell R J, Ilett K F, Dusci L

出版信息

Anaesth Intensive Care. 1986 Nov;14(4):343-6. doi: 10.1177/0310057X8601400402.

DOI:10.1177/0310057X8601400402
PMID:3565722
Abstract

Venous plasma concentrations of bupivacaine were measured in children following axillary brachial plexus block with either 2 mg/kg (n = 21) or 3 mg/kg (n = 20) of bupivacaine. Absorption was very rapid with a mean time to peak concentrations of 0.37 hours for both doses. Mean peak plasma concentration was 1.35 mg/l after the 2 mg/kg dose and 1.84 mg/kg after the 3 mg/kg dose. Even after a 30% allowance for anticipated higher arterial concentrations, the plasma levels found in the present study were well below those at which toxicity is considered likely (greater than 4 mg/l).

摘要

对接受2mg/kg(n = 21)或3mg/kg(n = 20)布比卡因腋路臂丛神经阻滞的儿童测量了布比卡因的静脉血浆浓度。两种剂量的吸收都非常迅速,达到峰值浓度的平均时间均为0.37小时。2mg/kg剂量后平均血浆峰值浓度为1.35mg/l,3mg/kg剂量后为1.84mg/kg。即使在考虑到预期更高的动脉浓度而增加30%的余量后,本研究中发现的血浆水平仍远低于被认为可能出现毒性的水平(大于4mg/l)。

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1
Plasma bupivacaine concentrations after axillary block in children.儿童腋路阻滞术后血浆布比卡因浓度
Anaesth Intensive Care. 1986 Nov;14(4):343-6. doi: 10.1177/0310057X8601400402.
2
[Prolonged blocking of the brachial plexus by axillary approach in children].[儿童腋路臂丛神经阻滞的延长]
Anesteziol Reanimatol. 1999 Jul-Aug(4):41-4.
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[Pharmacokinetic and clinical effects of two bupivacaine concentrations on axillary brachial plexus block].两种布比卡因浓度用于腋路臂丛神经阻滞的药代动力学及临床效果
Braz J Anesthesiol. 2018 Mar-Apr;68(2):115-121. doi: 10.1016/j.bjan.2017.09.001. Epub 2017 Oct 16.
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[Use of ropivacaine in axillary brachial plexus block].[罗哌卡因在腋路臂丛神经阻滞中的应用]
Clin Ter. 1997 Nov;148(11):527-30.
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[Axillary block of the brachial plexus and flunitrazepam premedication in surgery of the upper limb (study of 1,500 cases)].[上肢手术中臂丛神经腋路阻滞与氟硝西泮术前用药(1500例研究)]
Cah Anesthesiol. 1984 Dec;32(8 Suppl):37-40.
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Plasma bupivacaine concentrations during caudal analgesia and ilioinguinal-iliohypogastric nerve block in children.儿童骶管镇痛和髂腹股沟-髂腹下神经阻滞期间的血浆布比卡因浓度。
Anaesthesia. 1988 Aug;43(8):650-3. doi: 10.1111/j.1365-2044.1988.tb04150.x.
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Inverse correlation between the peak venous serum concentration of bupivacaine and the weight of the patient during interscalene brachial plexus block.在肌间沟臂丛神经阻滞期间,布比卡因静脉血清峰值浓度与患者体重之间呈负相关。
Br J Anaesth. 1991 Nov;67(5):621-2. doi: 10.1093/bja/67.5.621.
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[High conduction block of the brachial plexus using axillary approach].[腋路臂丛神经高传导阻滞]
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Continuous interscalene brachial plexus block: clinical efficacy, technical problems and bupivacaine plasma concentrations.
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Plasma concentrations of bupivacaine and two of its metabolites during continuous interscalene brachial plexus block.
Br J Anaesth. 1991 Jan;66(1):25-30. doi: 10.1093/bja/66.1.25.

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