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长效局部麻醉药对人体心血管及主观中枢神经系统的影响。

Cardiovascular and subjective central nervous system effects of long-acting local anaesthetics in man.

作者信息

Mather L E, Tucker G T, Murphy T M, Stanton-Hicks M D, Bonica J J

出版信息

Anaesth Intensive Care. 1979 Aug;7(3):215-21. doi: 10.1177/0310057X7900700302.

DOI:10.1177/0310057X7900700302
PMID:495929
Abstract

Intravenous infusions of etiodocaine 50, 75 and 100 mg and bupivacaine 75 mg were carried out over ten minutes in healthy young adult males. Cardiovascular sequelae were generally trivial at all doses. A collection of subjective central nervous system symptoms were described which may be regarded as early warning of impending local anaesthetic toxicity. Plasma concentrations of etidocaine were proportional to dose and ranged from 2 micrograms/ml to 5 micrograms/ml at the termination of the infusion. Plasma concentrations of bupivacaine were similar to those from the same dose of etidocaine but declined more slowly on cessation of infusion.

摘要

在健康年轻成年男性中,在10分钟内静脉输注50毫克、75毫克和100毫克的依替卡因以及75毫克的布比卡因。所有剂量下的心血管后遗症通常都很轻微。描述了一系列主观中枢神经系统症状,这些症状可被视为即将发生局部麻醉药毒性的早期预警。依替卡因的血浆浓度与剂量成正比,输注结束时范围为2微克/毫升至5微克/毫升。布比卡因的血浆浓度与相同剂量依替卡因的血浆浓度相似,但在输注停止后下降得更慢。

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引用本文的文献

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Regional Anesthesia Facilitates the Early Recognition of Local Anesthetic Toxicity.区域麻醉有助于早期识别局部麻醉药毒性。
J Med Cases. 2019 Nov;10(11):338-342. doi: 10.14740/jmc3393. Epub 2019 Dec 8.
2
Status epilepticus following local anesthesia in a previously healthy adult.一名既往健康的成年人在局部麻醉后发生癫痫持续状态。
BMC Res Notes. 2016 Jun 10;9:300. doi: 10.1186/s13104-016-2100-9.
3
Cardiotoxicity with modern local anaesthetics: is there a safer choice?现代局部麻醉药的心脏毒性:是否存在更安全的选择?
Drugs. 2001;61(3):333-42. doi: 10.2165/00003495-200161030-00002.
4
Clinical pharmacokinetics of local anaesthetics.局部麻醉药的临床药代动力学
Clin Pharmacokinet. 1979 Jul-Aug;4(4):241-78. doi: 10.2165/00003088-197904040-00001.