Trigano J A, Paganelli F, Taramasco V, Levy S, Lorec A M, Blin O, Bruguerolle B
Service de Cardiologie, Centre Hospitalier Universitaire Marseille nord.
Presse Med. 1996;25(24):1097-100.
Assess the efficacy of an anesthesic cream for pacemaker implantations.
Percutaneous anesthesia was studied in a series of permanent pacemaker transvenous implantations. The anesthesic cream composed of a mixture of lidocaine and prilocaine was applied precisely over operative areas after marking the skin. Percutaneous anesthesia should be applied 2 hours before entering the operating room.
This percutaneous local anesthesia was perfectly effective for simple replacement procedures. At first implantations, it was used alone in 4 out of 10 cases while intradermal injections were needed to anesthetize the deep layers in the other patients. Serum concentrations indicate very low levels which are tolerated very well.
Alone or combined with lidocaine infiltration, the use of an anesthesic cream is safe and effective in transvenous pacemaker surgery.
评估一种麻醉乳膏用于起搏器植入术的疗效。
在一系列永久性经静脉起搏器植入术中研究经皮麻醉。在标记皮肤后，将由利多卡因和丙胺卡因混合而成的麻醉乳膏精确涂抹于手术区域。应在进入手术室前2小时进行经皮麻醉。
这种经皮局部麻醉对于简单的更换手术非常有效。在初次植入时，10例中有4例单独使用，而其他患者则需要皮内注射来麻醉深层组织。血清浓度显示水平极低，耐受性良好。
在经静脉起搏器手术中，单独使用或与利多卡因浸润联合使用麻醉乳膏是安全有效的。
