0.5% levobupivacaine and 1.73% carbonated lidocaine epidural anesthesia for cesarean section.docVIP

 PAGE \* MERGEFORMAT 4 0.5% levobupivacaine and 1.73% carbonated lidocaine epidural anesthesia for cesarean section [Keywords:] L-bupivacaine Levobupivacaine is a long-acting amide local anesthetic is bupivacaine L-body, because of its similar efficacy and bupivacaine, but its lower cardiac toxicity has been applied more clinical. To further explore the effect of surgery in obstetrics, this study observed under anesthesia through the epidural levobupivacaine 0.5% and 1.73% carbonated lidocaine in the effect of caesarean section, comparative advantages and disadvantages. 1 Data and methods 1.1 General Information 2006 7 ~ October choose our hospital 200 cases of cesarean section, ASA I-class, aged 22 to 35 years old, weighing 49 ~ 82kg, non-amide local anesthetic allergy history, mood, liver, kidney and other major dirty device illness history; sample selection, when a huge children, twins, fetal embarrassed, except the second operation. Were randomly divided into two groups: 0.5% hydrochloric acid L-bupivacaine group (A group), 1.73% carbonated lidocaine group (B group). 100 cases in each group. 1.2 Methods of patients after the break-open upper venous infusion of compound sodium lactate injection, lateral position, take 1 to 2 lumbar epidural space puncture to the cephalic epidural catheter insertion, epidural stay tube 3cm, was converted into supine, with the smoke-free blood and cerebrospinal fluid, given the amount of testing. A group of 0.5% levobupivacaine (from Jiangsu Hengrui Medicine Co., Ltd. production, batch number 060707323ml); B group of 1.73% lidocaine carbonate (from Sichuan Pharmaceutical Co., Ltd., Jiangsu economic production, batch number 060408) 3ml , 5min later confirmed that no symptoms of spinal anesthesia, epidural withdraw sword confirmed after an additional 0.5%, respectively, and 1.73% levobupivacaine lidocaine carbonate of 14ml, without epinephrine, surgery is no longer an additional local anesthetic. All patients to be monitore