用利多卡因、布比卡因或利多卡因和布比卡因的混合物对狗进行硬膜外麻醉

M. L. Cruz, S. Luna, R. M. O. Clark, F. Massone, G. B. Castro
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引用次数: 35

摘要

本文比较了使用利多卡因、布比卡因或利多卡因和布比卡因联合应用硬膜外阻滞后的指间反射消失时间、作用时间、肌肉松弛时间和心肺作用。采用甲氨苄嗪预用药,硫喷妥麻醉,方便硬膜外穿刺,腰骶部硬膜外阻滞。用药前、硫喷妥和硬膜外麻醉后体温下降。动脉血氧饱和度、末潮期动脉血氧饱和度、呼吸频率、心率和平均动脉血压变化极小。布比卡因与利多卡因联用比单独使用布比卡因的指间反射消失时间短,比单独使用利多卡因的镇痛时间长,比单独使用利多卡因或布比卡因的肌肉松弛时间长。当手术时间延长时,联合治疗是最佳选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidural anaesthesia using lignocaine, bupivacaine or a mixture of lignocaine and bupivacaine in dogs
SUMMARY The time to loss of interdigital reflex, duration of action, duration of muscle relaxation and cardiorespiratory effects were compared after epidural block using lignocaine, bupivacaine or a combination of lignocaine and bupivacaine in dogs. Dogs were pre-medicated with methotrimeprazine, anaesthesia was induced with thiopentone, in order to facilitate epidural puncture, and a lumbosacral epidural block was performed. Body temperature fell after pre-medication, thiopentone and epidural anaesthesia. Minimal changes were observed in arterial O 2 saturation, end tidal CO 2 , respiratory rate, heart rate and mean arterial blood pressure. The combination of bupivacaine with lignocaine produced a shorter time to loss of interdigital reflex than bupivacaine alone, longer analgesia than lignocaine alone and longer muscle relaxation than either lignocaine or bupivacaine. The combination appeared to be the best choice when surgical time is prolonged.
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