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Updated: May 24, 2025

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
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内手术自主神经阻塞:不同局部麻醉剂组合之间的比较:一项随机临床试验

Jorge Daes1, Rafael Pantoja2,3, Elika Luque4

  • 1Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Clínica Iberoamérica, Carrera 50 No 79-223 PH B, 850020, Barranquilla, Colombia. jorgedaez@gmail.com.

Surgical endoscopy
|March 3, 2025
PubMed
概括

术内自主神经阻塞 (ANB) 用布皮瓦卡因,德克萨米他和吉洛富辛改善了腹腔镜袖子胃切除术患者的结局. 这种组合减少了疼痛和恶心,提高了患者的安全性和恢复.

关键词:
自主神经封锁的自主神经封锁局部麻醉剂 局部麻醉剂在阿片类药物中,阿片类药物手术后的恶心和吐.内疼痛是一种内脏疼痛.

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
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Local Anesthetics: Pharmacokinetics

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