关键词: Bupivacaine Ropivacaine Scorpion Stings Spinal Anaesthesia

Mesh : Humans Ropivacaine / therapeutic use administration & dosage pharmacology Scorpion Stings / drug therapy complications Male Anesthetics, Local / therapeutic use administration & dosage pharmacology Female Adult Middle Aged Nerve Block / methods Amides / therapeutic use pharmacology administration & dosage Scorpions Animals

来  源:   DOI:10.18295/squmj.7.2023.046   PDF(Pubmed)

Abstract:
Failure of sub-arachnoid block (SAB), due to resistance to bupivacaine after a recent scorpion sting can lead to multiple block attempts and subsequent conversion to general anaesthesia. We report this case series of 10 patients with successful SAB with newly launched 0.75% hyperbaric ropivacaine, in patients with recent scorpion sting. Thus, intrathecal hyperbaric ropivacaine may be considered as the local anaesthetic agent of choice in patients with scorpion sting to prevent failure of SAB.
摘要:
蛛网膜下腔阻滞(SAB)失效,由于最近蝎子叮咬后对布比卡因的抵抗,可能导致多次阻滞尝试并随后转换为全身麻醉。我们报告了10例成功的SAB患者的病例系列,新推出了0.75%的高压罗哌卡因,最近蝎子刺痛的患者。因此,鞘内注射高压罗哌卡因可被认为是蝎子刺痛患者的首选局部麻醉剂,以防止SAB失败。
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