医学交流课件：局部麻醉的安全性.pdfVIP

Local Anesthetic systemic toxicity: an ancient devil with new twists 局麻药系统毒性：一个古老话 题的新篇章 Regional Anesthesia Triangle: 神经阻滞:一个等边三角形 Block failure ：失败 Nerve jury •神经损伤 Local Anesthetics systemic toxicity 局麻药系统中毒 Unpleasant reality of LAST 不得不面对的局麻药系统中毒的现实 •It happens more often than you think: close to nerve jury •Year 1981: introduction of epidural test dose 试验剂量 and incremental injection 增量注入, rate change from 100/10,000 to 11/10,000 for epidural related LAST: 减少十倍 •Test dose does not work with UGRA: multiple injection sites •It can happen with intravascular inj