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髓内通路放置后的利多卡因应用(Lidocaine after IO Line Placement)
原作者: Bryan Hayes, 肖锋译 文章来源: 中华急诊医学杂志编辑部 发布日期:2013-02-11

Title: Lidocaine after IO Line Placement
题目:髓内通路放置后的利多卡因应用
Author作者: Bryan Hayes

Intraosseus (IO) access has become quite popular in critically ill patients requiring immediate resuscitation. In a patient responsive to pain, however, pain and discomfort is associated with the force of high-volume infusion through the established line.
在需要紧急复苏的危重病人抢救中,骨髓内通道的应用已非常普遍。但是,对于一个对疼痛有感觉的病人,疼痛和不适可能会需要增加快速液体复苏的压力。
• Before flushing the line, consider administering preservative-free 2% lidocaine (without epinephrine) for patients responsive to pain prior to flush.
• 在冲洗髓内通道前,对有疼痛感的病人,可考虑注射没有防腐剂的2%利多卡因(无肾上腺素)。
• The suggested dose is 20-40 mg (1-2 mL) of the 2% lidocaine, followed by the 10 mL saline flush.
• 建议剂量是20-40mg(1-2ml)的2%的利多卡因,然后再用10ml生理盐水冲一下。
If preservative-free 2% lidocaine is not stocked in your ED, now is the time to consider adding it.
如果你们科里没有储存没有防腐剂的2%利多卡因,现在应该把它加上了。

References参考文献
Fowler RL, Pierce, Nazeer S, et al. Powered intraosseous insertion provides safe and effective vascular access for emergency patients. Ann Emerg Med 2008;52(4):S152.

Ong MEH, Chan YH, Oh JJ, et al. An observational, prospective study comparing tibial and humeral intraosseus access using EZ-IO. Am J Emerg Med 2009;27(1):8-15. [PMID 19041528]

文章来源:中华急诊医学杂志编辑部