局部麻醉剂混合物的结晶与或没有选择辅助剂:半定量光显微镜分析
Elisabeth Hoerner1, Ottokar Stundner2,3, Anna Seisl1
1Department of Anesthesiology and Intensive Care, Medical University of Innsbruck, Innsbruck, Austria.
Regional anesthesia and pain medicine
|March 5, 2024
概括
通常在麻醉中使用的局部麻醉剂和辅助剂的混合物经常形成晶体,可能会影响患者的安全. 需要进一步的研究来了解这些结晶的临床影响.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 材料科学 材料科学 材料科学
背景情况:
- 与辅助剂混合的局部麻醉剂经常用于区域麻醉,特别是剖腹产.
- 这些混合物的安全性,特别是关于药理兼容性和结晶性的安全性,尚不清楚.
研究的目的:
- 评估各种局部麻醉剂和辅助剂混合物的结晶度.
- 为了研究初始溶液pH和随着时间的推移结晶之间的关系.
主要方法:
- 混合了七种局部麻醉剂和四种辅助剂,并使用光显微镜 (尺度0-5) 评估了结晶,长达60分钟.
- 在结晶度和初始溶液pH之间进行了相关性分析.
主要成果:
- 在26种混合物中观察到高度结晶 (≥4) 在最初的26种混合物中和在60分钟后的41种混合物中观察到.
- 辅助剂没有显著改变结晶度;布皮瓦卡因的沉量比罗皮瓦卡因少.
- 仅在辅助剂混合物中,在15分钟后发现初始pH值和结晶之间的中等相关性.
结论:
- 混合局部麻醉剂和辅助剂经常导致显著的结晶,随着时间的推移而增加.
- 结晶似乎在很大程度上独立于初始溶液的pH.
- 这些物理不相容性的临床意义需要进行批判性评估和进一步的转化研究.
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