期刊文献+

低浓度左旋布比卡因在乳腺癌手术的应用体会

下载PDF
导出
摘要 目的探讨低浓度左旋布比卡因在乳腺癌手术硬膜外麻醉中的应用。方法68例患者均采用连续硬膜外麻醉,注入0.3%左旋布比卡因完成手术,当患者由于各种原因引起阻滞平面不够时辅助用异丙酚、氯胺酮等静脉药,观察患者情况。结果90%患者麻醉效果满意,10%麻醉患者在清扫腋窝时需辅助用药。结论低浓度左旋布比卡因高位硬膜外麻醉治疗乳腺癌较安全,对患者呼吸循环干扰轻,又便于术后止痛,极大地减轻了患者痛苦。
机构地区 揭阳市人民医院
出处 《基层医学论坛》 2007年第5期448-448,共1页 The Medical Forum
  • 相关文献

参考文献1

二级参考文献10

  • 1Newton DJ,McLeod GA,Khan F,et al.Vasoactive characteristics ofbupivacaine and levobupivacaine with and without adjuvant epinephrinein peripheral human skin[].British Journal of Anaesthesia.2005
  • 2Kopacz DJ,Allen HW.Accidental intravenous levobupivacaine[].Anesthesia and Analgesia.1999
  • 3Bader AM,Tsen LC,Camann WR,et al.Clinical effects and maternaland fetal plasma concentrations of 0.5%epidural levobupivacaine versusbupivacaine for cesarean delivery[].Anesthesiology.1999
  • 4McDonald SB,Jacobsohn E,Kopacz DJ,et al.Parasternal block and localanesthetic infiltration with levobupivacaine after cardiac surgery withdesflurane:the effect on postoperative pain,pulmonary function and tra-cheal extubation times[].Anesthesia and Analgesia.2005
  • 5Costello TG,Cormackl JR,Mather LE,et al.Plasma levobupivacaineconcentrations followith scalp block in patients undergoing awake cran-iotomy[].British Journal of Anaesthesia.2005
  • 6Salomaki TE,Laurila PA,Ville J.Successful resuscitation after cardio-vascula collapse following accidental intravenous infusion of levobupiva-caine during general anesthesia[].Anesthesiology.2005
  • 7Veering Bernadette TH,Burm Anton GL,Feyen H M,et al.Pharma-cokinetics of bupivacaine during postoperative epidural infusion:enan-tioselectivity and role of protein binding[].Anesthesiology.2002
  • 8Chalkiadis GA,Anderson BJ,Tay M,et al.Pharmacokinetics of lev-obupivacaine after caudal epidural administration in infants less than 3months of age[].British Journal of Anaesthesia.2005
  • 9Chalkiadis GA,Eyres RL,Cranswick N,et al.Pharmacokinetics of lev-obupivacaine 0.25%following caudal administration in children under 2years of age[].British Journal of Anaesthesia.2004
  • 10Crews JC,Weller RS,Moss J,et al.Levobupivacaine for axillarybrachial plexus block:a pharmacokinetic and clinical comparison in pa-tients with normal renal function or renal disease[].Anesthesia and Analgesia.2002

共引文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部