局部麻醉（英文）演示幻灯片.pptVIP

Zhang Lan Department of Anesthesiology of West China Hospital;Clinical Anesthesia ;一、Nerve Blocks;LOCAL ANESTHETICS(LA);十八世纪中，人们咀嚼古柯叶感受舒适感和增加耐力 1860年，从古柯叶中发现了可卡因 1884年，可卡因先后用于眼部局麻手术、颌神经阻滞、脊髓麻醉、硬膜外麻醉和蛛网膜下腔阻滞麻醉;Lidocaine Bupivacaine Ropivavaine;extremely stable;;Local anesthetics of Peripheral nerve block;◆The toxicity of Local anesthetics ;BP ? Heart rate? Cardiac Arrest;Direct Cardiac Effects;Excessive doses of LA Systemic absorption of LA intravascular injection of LA Test doses of LA Premedication ;Incipient toxic reactions: Stop administering LA,ventilation support CNS exci