在图像指导的核心针胸部活检后,含有上腺素的利多卡因和血瘤风险
Eric E Davis1, Sueann Mark1, Genevieve A Woodard2
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA.
Journal of breast imaging
|August 30, 2025
概括
含有上腺素的利多卡因在9度核针乳腺活检 (CNBBs) 中显著降低了血瘤风险. 这一发现表明其使用可能会在特定的活检过程中提高患者的安全性.
科学领域:
- 放射学
- 干预性放射学
- 癌症学
背景情况:
- 核心针乳房活检 (CNBB) 是常见的程序.
- 血瘤形成是CNBB的潜在并发症.
- 利多卡因中的上腺素在降低CNBB后的血瘤风险方面的作用尚未得到充分证实.
研究的目的:
- 在使用上腺素含有利多卡因和单独使用利多卡因后,比较症状性血瘤的风险.
- 评估上腺素在以图像为导向的CNBB中降低血瘤风险的有效性.
主要方法:
- 在12个月内对CNBB进行了回顾性审查.
- 患者接受单独的利多卡因或含有上腺素的利多卡因.
- 通过护士导航评估了包括症状性血瘤在内的切口后并发症.
- 检查了乳房图,并通过后勤回归分析数据.
主要成果:
- 总共分析了1157个CNBB.
- 对于12至14度的美国指导CNBB,没有发现血瘤风险的显著差异.
- 含有上腺素的利多卡因在9度CNBB检查后显著降低了症状 (比4. 1%) 和乳房显著的血瘤 (比41.2%) .
结论:
- 含有上腺素的利多卡因在9度CNBB后有效降低了血液瘤的发生率.
- 通过降低血瘤风险,考虑使用含上腺素的利多卡因来治疗9度CNBB.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
557
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
557
Cardiac Catheterization IV: Nursing Management
193
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
193
Local Anesthetics: Clinical Application as Epidural Anesthesia
498
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
498
Local Anesthetics: Adverse Effects
491
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
491
Endoscopic Studies II: Thoracocentesis
495
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
495
Local Anesthetics: Common Agents and Their Applications
545
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
545


