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创伤骨科手术中0.5%布比卡因的高压脊髓麻醉

[Hyperbaric spinal anesthesia with 0.5 percent bupivacaine in traumatological and orthopedic surgery].

作者信息

Boittiaux P, Snauwaert F, Scherpereel P

出版信息

Cah Anesthesiol. 1984 Dec;32(8):665-8.

PMID:6529681
Abstract

Bupivacaine for spinal anesthesia produces operating conditions for over two hours. The onset of sensory block is rapid. Motor blockade is incomplete in 13% at the cases. The quality of anesthesia was judged very satisfactory. Adapting dosage to size (0.1 mg X cm-1) decreases the risk of excessive spread of the block. Simultaneous administration of dihydroergotamine and flunitrazepam enhances cardio-vascular stability and acceptance by patients.

摘要

布比卡因用于脊髓麻醉可产生超过两小时的手术条件。感觉阻滞起效迅速。13%的病例运动阻滞不完全。麻醉质量被判定为非常满意。根据体型调整剂量(0.1毫克×厘米-1)可降低阻滞过度扩散的风险。同时给予双氢麦角胺和氟硝西泮可增强心血管稳定性并提高患者的接受度。

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