Lidocaine ni iki?

Lidocaine ni anestheque yaho, izwi kandi nka sirocaine, yasimbuye procaine mumyaka yashize kandi ikoreshwa cyane muri anesthesia yinjira mububiko bwo kwisiga.Ihagarika kwishima no gutwarwa no guhagarika imiyoboro ya sodium ion mumyanya myakura.Igipimo cya lipid solubilité hamwe na protein ihuza igipimo kiri hejuru ya procaine, ifite imbaraga zikomeye zo kwinjira, gutangira vuba, igihe kirekire cyibikorwa, hamwe nuburemere bwibikorwa inshuro enye za prokaine.

Mubikorwa byubuvuzi birimo anesthesia yinjira, anesthesia epidural, anesthesia yo hejuru (harimo anesthesia ya mucosal mugihe cya thoracoscopi cyangwa kubaga inda), hamwe no guhagarika imitsi.Kugirango wongere igihe cya anesteziya kandi ugabanye ingaruka nkuburozi bwa lidocaine, adrenaline irashobora kongerwaho anesthetic.

Lidocaine irashobora kandi gukoreshwa mukuvura gukubitwa imburagihe, tachycardia yumuyaga, uburozi bwa digitalis, arththmias yatewe no kubaga umutima hamwe na catheterisation nyuma yindwara ya myocardial infarction, harimo gukubitwa imburagihe hakiri kare, tachycardia yumuyaga, hamwe na fibrillation ya ventricular. hamwe na epilepsy idahwema kutagira ingaruka hamwe nizindi anticonvulsants hamwe na anesthesi yaho cyangwa umugongo.Ariko mubisanzwe ntabwo bigira ingaruka kuri arththmias supraventricular.

Iterambere ryubushakashatsi kuri perioperative intravenous infusion ya lidocaine

Gukoresha igihe cyose imiti ya opioide irashobora gutera ingaruka mbi nyinshi, ziteza imbere ubushakashatsi bwimbitse ku miti idakira ya opioid.Lidocaine ni umwe mu miti igabanya ubukana butari opioid.Ubuyobozi bwa buri gihe bwa lidocaine burashobora kugabanya urugero rwimiti yimiti ya opioid, kugabanya ububabare nyuma yubuvuzi, kwihutisha gukira nyuma yimikorere ya gastrointestinal, kugabanya igihe cyo kumara ibitaro no guteza imbere ubuzima busanzwe.

Gukoresha ivuriro rya lidocaine yimitsi mugihe cya perioperative

1.Gabanya ibibazo byo guhangayika mugihe cyo kubaga anesthesia

2.ugabanye urugero rwimiti yibiyobyabwenge, kugabanya ububabare nyuma yibikorwa

3.Gutezimbere gukira kwimikorere ya gastrointestinal, gabanya ibyago byo kugira isesemi nyuma yo kubagwa no kuruka (PONV) hamwe nubumuga bwo kutamenya (POCD), no kugabanya ibitaro

4.Ibindi bikorwa

Usibye ingaruka zavuzwe haruguru, lidocaine ifite n'ingaruka zo kugabanya ububabare bwo gutera inshinge za propofol, kubuza inkorora nyuma yo kwiyongera, no kugabanya kwangirika kwa myocardial.