Kedu ihe bụ lidocaine?

Lidocaine bụ ọgwụ anestetiiki mpaghara, nke a makwaara dị ka sirocaine, nke nọchiri anya procaine n'afọ ndị na-adịbeghị anya ma na-ejikarị ya eme ihe maka mgbakasị nbanye mpaghara na ịwa ahụ ịchọ mma.Ọ na-egbochi mkpali akwara na ntụzịaka site na igbochi ọwa sodium ion n'ime membranes cell nerve.Ọdịnaya lipid solubility ya na ọnụ ọgụgụ njikọ protein dị elu karịa nke procaine, nwere ikike ịbanye n'ime cell siri ike, mmalite ngwa ngwa, ogologo oge ime ihe, yana ike ime ihe ugboro anọ karịa nke procaine.

Ngwa ụlọ ọgwụ na-agụnye nhụsianya infiltration, epidural anesthesia, anesthesia elu (gụnyere anesthesia mucosal n'oge thoracoscopy ma ọ bụ ịwa ahụ abdominal), na mgbochi nchịkwa akwara.Iji mee ka ọ dị ogologo oge nkwụsịtụ ma belata mmetụta ndị dị ka nsị lidocaine, adrenaline nwere ike ịgbakwunye na anestetiiki.

A pụkwara iji Lidocaine na-agwọ ọrịa ventricular akaghi aka, tachycardia ventricular, digitalis poisoning, ventricular arrhythmias kpatara site na ịwa ahụ obi na catheterization mgbe nnukwu myocardial infarction, gụnyere ventricular premature beats, ventricular tachycardia, ventricular tachycardia, na ventricular na-eji fibrillation eme ihe. nwere Akwụkwụ na-adịgide adịgide nke na-adịghị arụ ọrụ na ọgwụ mgbochi ndị ọzọ yana maka mgbakasị mpaghara ma ọ bụ ọkpụkpụ azụ.Mana ọ naghị adị irè maka arrhythmias supraventricular.

Ọganihu nyocha na infusion intravenous perioperative nke infusion lidocaine

Iji ọgwụ opioid eme ihe n'oge oge nwere ike ịkpasu mmeghachi omume ọjọọ dị iche iche, nke na-akwalite nyocha miri emi na ọgwụ analgesic na-abụghị opioid.Lidocaine bụ otu n'ime ọgwụ analgesic na-abụghị opioid kacha dị irè.Nlekọta oge nke lidocaine nwere ike ibelata usoro ọgwụgwọ intraoperative nke ọgwụ opioid, belata ihe mgbu mgbe ịwachara ahụ, mee ngwa ngwa mgbake nke ọrụ eriri afọ mgbe ọ gasịrị, belata ogologo oge ịnọ n'ụlọ ọgwụ ma kwalite mmezigharị mgbe ịwachara ahụ gasịrị.

Ngwa ụlọ ọgwụ nke lidocaine intravenous n'oge oge perioperative

1. Belata nzaghachi nrụgide n'oge ịwa ahụ anesthesia

2.belata intraoperative usoro onunu ogwu nke opioid, belata mgbu mgbe ịwachara ahụ

3.Na-akwalite mgbake nke ọrụ eriri afọ, belata ọgbụgbọ na ọgbụgbọ (PONV) na nkwarụ postoperative (POCD), na mbelata ọnụnọ ụlọ ọgwụ.

4. Ọrụ ndị ọzọ

Na mgbakwunye na mmetụta ndị a dị n'elu, lidocaine nwekwara mmetụta nke ibelata mgbu injection nke propofol, na-egbochi nzaghachi ụkwara mgbe extubation gasịrị, na ibelata mmebi myocardial.