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硬膜外镇痛所需局部麻醉药剂量过大。硬膜外导管应插入多深?

Excessive dose requirements of local anaesthetic for epidural analgesia. How far should an epidural catheter be inserted?

作者信息

Kumar C M, Dennison B, Lawler P G

出版信息

Anaesthesia. 1985 Nov;40(11):1100-2. doi: 10.1111/j.1365-2044.1985.tb10610.x.

DOI:10.1111/j.1365-2044.1985.tb10610.x
PMID:4073427
Abstract

On two separate occasions, a 78-year-old obese man suffering from congestive cardiac failure and peripheral vascular disease, required epidural anaesthesia for surgery to his leg. The dosage requirement on the first occasion was large and much greater than on the second occasion. Reasons for the difference in dosage are discussed. We suggest an epidural catheter should be inserted 3 cm into the epidural space.

摘要

在两个不同的场合,一名患有充血性心力衰竭和外周血管疾病的78岁肥胖男子,因腿部手术需要硬膜外麻醉。第一次的剂量需求很大,远大于第二次。文中讨论了剂量差异的原因。我们建议将硬膜外导管插入硬膜外腔3厘米。

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Excessive dose requirements of local anaesthetic for epidural analgesia. How far should an epidural catheter be inserted?硬膜外镇痛所需局部麻醉药剂量过大。硬膜外导管应插入多深?
Anaesthesia. 1985 Nov;40(11):1100-2. doi: 10.1111/j.1365-2044.1985.tb10610.x.
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Continuous mini-infusion of bupivacaine into the epidural space during labor. Part I: Radiographic visualization of the epidural catheters.分娩期间持续微量注入布比卡因至硬膜外腔。第一部分:硬膜外导管的影像学可视化
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引用本文的文献

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Insertion length and resistance during advancing of epidural catheter.硬膜外导管推进过程中的插入长度和阻力。
J Anesth. 2009;23(4):494-9. doi: 10.1007/s00540-009-0818-4. Epub 2009 Nov 18.
2
The epidural test dose in obstetrics: is it necessary?产科硬膜外试验剂量:有必要吗?
Can J Anaesth. 1987 Nov;34(6):601-5. doi: 10.1007/BF03010519.