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血流动力学药物相互作用:硬膜外利多卡因与静脉注射麻黄碱。

Hemodynamic drug interaction: peridural lidocaine and intravenous ephedrine.

作者信息

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

出版信息

Acta Anaesthesiol Scand. 1976;20(3):207-10. doi: 10.1111/j.1399-6576.1976.tb05030.x.

DOI:10.1111/j.1399-6576.1976.tb05030.x
PMID:961328
Abstract

Hypotension following peridural anesthesia with lidocaine was treated by intravenous injection of ephedrine. The ephedrine relieved the cardiovascular depression, but was associated with a concomitant increase in plasma lidocaine concentrations. This increase may push the plasma lidocaine concentration into the toxic region.

摘要

利多卡因硬膜外麻醉后出现的低血压通过静脉注射麻黄碱进行治疗。麻黄碱缓解了心血管抑制,但同时导致血浆利多卡因浓度升高。这种升高可能会使血浆利多卡因浓度进入中毒范围。

相似文献

1
Hemodynamic drug interaction: peridural lidocaine and intravenous ephedrine.血流动力学药物相互作用:硬膜外利多卡因与静脉注射麻黄碱。
Acta Anaesthesiol Scand. 1976;20(3):207-10. doi: 10.1111/j.1399-6576.1976.tb05030.x.
2
Influence of intravenously administered ephedrine on splanchnic haemodynamics and clearance of lidocaine.静脉注射麻黄碱对内脏血流动力学及利多卡因清除率的影响。
Acta Anaesthesiol Scand. 1977;21(4):275-81. doi: 10.1111/j.1399-6576.1977.tb01220.x.
3
Ephedrine remains the vasopressor of choice for treatment of hypotension during ritodrine infusion and epidural anesthesia.在使用利托君输液和硬膜外麻醉期间,麻黄碱仍然是治疗低血压的首选血管加压药。
Anesthesiology. 1994 May;80(5):1073-81; discussion 28A. doi: 10.1097/00000542-199405000-00016.
4
Circulatory effects of peridural block: 3. Effects of acute blood loss.
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Plasma concentration and cardiovascular effects of lidocaine during continuous epidural administration in dogs anesthetized with isoflurane.
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Circulatory effects of peridural block. IV. Comparison of the effects of epinephrine and phenylephrine.
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Cardiac output changes with phenylephrine and ephedrine infusions during spinal anesthesia for cesarean section: A randomized, double-blind trial.在剖宫产脊髓麻醉期间,去氧肾上腺素和麻黄碱输注对心输出量的影响:一项随机、双盲试验。
J Clin Anesth. 2017 Feb;37:43-48. doi: 10.1016/j.jclinane.2016.11.001. Epub 2016 Dec 26.
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The use of ephedrine for prevention of arterial hypotension during epidural blockade. A study of the central circulation after subcutaneous premedication.麻黄碱在硬膜外阻滞期间预防动脉低血压中的应用。皮下术前用药后中枢循环的研究。
Acta Anaesthesiol Scand Suppl. 1978;66(66):1-26. doi: 10.1111/j.1399-6576.1978.tb01350.x.
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[Cardiovascular and renal hemodynamics during high spinal and peridural anaesthesia].
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Ephedrine-induced increases in arterial blood pressure accelerate regression of epidural block.麻黄碱引起的动脉血压升高会加速硬膜外阻滞的消退。
Anesth Analg. 1995 Oct;81(4):703-5. doi: 10.1097/00000539-199510000-00008.

引用本文的文献

1
Adverse effects and drug interactions associated with local and regional anaesthesia.与局部和区域麻醉相关的不良反应及药物相互作用。
Drug Saf. 1998 Apr;18(4):221-50. doi: 10.2165/00002018-199818040-00001.
2
The role of vasopressors in the management of hypotension induced by spinal and epidural anaesthesia.血管升压药在脊髓和硬膜外麻醉所致低血压管理中的作用。
Can J Anaesth. 1994 May;41(5 Pt 1):404-13. doi: 10.1007/BF03009863.
3
Clinical pharmacokinetics of epidural and spinal anaesthesia.
Clin Pharmacokinet. 1989 May;16(5):283-311. doi: 10.2165/00003088-198916050-00002.
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.