Lidocaine imishonga yemunharaunda, inozivikanwawo sesirocaine, iyo yakatsiva procaine mumakore achangopfuura uye inoshandiswa zvakanyanya kupindira kweanesthesia mukuvhiya kwekuzora.Iyo inovhara nerve excitation uye conduction nekuvharira sodium ion nzira mune nerve cell membranes.Iyo lipid solubility uye mapuroteni anosunga mwero akakwira kupfuura ayo eprocaine, ane simba rakasimba rekupinda musero, kukurumidza kutanga, nguva refu yekuita, uye kusimba kwechiito zvakapetwa kana izvo zveprocaine.
Mishonga yemakiriniki inosanganisira infiltration anesthesia, epidural anesthesia, surface anesthesia (kusanganisira mucosal anesthesia panguva ye thoracoscopy kana abdominal operation), uye nerve conduction block.Kuti uwedzere nguva yeanesthesia uye kuderedza migumisiro yakadai se lidocaine chepfu, adrenaline inogona kuwedzerwa kune anesthetic.
Lidocaine inogonawo kushandiswa kurapa ventricular premature beats, ventricular tachycardia, digitalis poisoning, ventricular arrhythmias inokonzerwa nekuvhiyiwa kwemwoyo uye catheterization mushure meacute myocardial infarction, kusanganisira ventricular premature beats, ventricular tachycardia, uye ventricular arrhythmias inoshandiswa kune varwere, iyo inoshandiswawo kune varwere. nepfari inoramba ichiita isingashande nemamwe maanticonvulsants uye yemunharaunda kana musana kana anesthesia.Asi kazhinji haishande kune supraventricular arrhythmias.
Tsvagiridzo inofambira mberi pane perioperative intravenous infusion ye lidocaine infusion
Perioperative kushandiswa kweopioid mishonga inogona kumutsa maitiro akawanda akashata, ayo anosimudzira tsvakiridzo yakadzama pane isiri-opioid analgesic zvinodhaka.Lidocaine ndeimwe yeanonyanya kushanda asiri opioid analgesic zvinodhaka.Perioperative administration ye lidocaine inogona kuderedza intraoperative dosage yeopioid zvinodhaka, kubvisa marwadzo ekuvhiyiwa, kukurumidza kupora mushure mekushanda kwegastrointestinal basa, kupfupisa urefu hwekugara muchipatara uye kukurudzira kugadziriswa kwemashure.
Clinical kushandiswa kweintravenous lidocaine panguva yekuvhiya
1.Kuderedza kushushikana mupfungwa panguva yekuvhiyiwa kweanesthesia
2.reduce the intraoperative dosage yeopioid zvinodhaka, bvisa kurwadziwa kwepashure
3.Kurudzira kupora kwegastrointestinal function, kuderedza chiitiko che postoperative nausea uye kurutsa (PONV) uye postoperative cognitive impairment (POCD), uye kupfupisa kugara muchipatara.
4.Mamwe mabasa
Pamusoro pemhedzisiro iri pamusoro, lidocaine ine zvakare mhedzisiro yekudzikisa marwadzo ejekiseni epropofol, inhibiting mhinduro yechikosoro mushure mekuputika, uye kuderedza kukuvara kwemyocardial.
Nguva yekutumira: May-17-2023