Video: Lido nrog EPI siv rau dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Lidocaine thiab Epinephrine Kev txhaj tshuaj, USP yog qhia rau kev tsim tshuaj loog hauv zos rau cov txheej txheem kho hniav los ntawm cov hlab ntsha los yog cov txheej txheem infiltration.
Yooj yim li ntawd, koj puas tuaj yeem siv lidocaine nrog epinephrine ntawm cov ntiv tes?
TSIS YOG siv epinephrine nrog lidocaine hauv ntiv tes , ntiv taw thiab qhov ntswg!” Nws yog ib qho kev qhia ntau yam kom tsis txhob muaj siv ntawm lidocaine nrog epinephrine rau anesthetizing ntiv tes thiab cov ntiv taw. Nov yog hnub rov qab rau xyoo 1900 thaum muaj cov xwm txheej ntawm gangrene ua raws li qhov no siv ntawm tshuaj loog nrog epinephrine.
Ib sab saum toj, vim li cas epinephrine ntxiv rau lidocaine rau tshuaj loog hauv zos? Dosage thiab kev tswj hwm Qhov sib ntxiv ntawm epinephrine 5 micrograms / ml (1: 200 000) raws li vasoconstrictor rau tshuaj loog hauv zos kev daws slows systemic absorption thiab prolongs lub tshuaj loog nyhuv. Hauv kev phais kho hniav, qhov ntim me me tau txhaj, qhov ntau ntawm 12.5 micrograms / ml (1: 80 000) feem ntau yog siv.
Yog li ntawd, ntev npaum li cas lidocaine nrog epi mob?
Feem ntau siv cov tshuaj loog hauv zos yog Lidocaine thiab Bupivacaine. Lidocaine ua nrawm dua (tsis pub dhau 2-5 feeb ntawm kev txhaj tshuaj) thiab vim li no feem ntau nyiam nyob hauv cov chaw kho mob rau kev txhaj tshuaj ua ntej. Txawm li cas los nws cov teebmeem xwb zaum kawg mus txog 2 teev, tsis muaj epinephrine , thiab 3 teev, nrog epinephrine.
Koj yuav ua li cas sib tov lidocaine thiab EPI?
Hauv kev xyaum, peb feem ntau kos 1 mL ntawm bicarbonate thiab tom qab ntawd 10 mL ntawm 1% lidocaine nrog 1:100,000 epinephrine rau hauv 10 mL koob txhaj tshuaj yog li ob txoj kev daws teeb meem yog sib xyaw rau tag nrho ntawm 11 mL ntim hauv 10 mL koob txhaj tshuaj, ua rau muaj qhov sib piv ntawm 1 mL: 10 mL (Daim duab 5).
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