CHANGES IN HEMODYNAMICS AND PLASMA-CATECHOLAMINE CONCENTRATIONS AFTER FIELD BLOCK FOR INGUINAL HERNIORRHAPHY USING LIGNOCAINE WITH ADRENALINE

被引：9

作者：

HAYSEGREGSON, PB ^{[1
]}

ACHOLA, KJ ^{[1
]}

SMITH, G ^{[1
]}

机构：

[1] UNIV LEICESTER,LEICESTER ROYAL INFIRM,DEPT ANAESTHESIA,LEICESTER LE1 5WW,ENGLAND

来源：

ANAESTHESIA | 1990年 / 45卷 / 01期

关键词：

Anaesthetic techniques; regional; inguinal field block; Sympathetic nervous system; pharmacology; adrenaline; noradrenaline;

D O I：

10.1111/j.1365-2044.1990.tb14493.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Haemodynamic changes and plasma catecholamine concentrations were measured in 12 patients aged 24 to 87 years after performance of a field block for elective repair of inguinal or femoral hernia. The local anaesthetic used comprised a mixture of lignocaine 0.5% with adrenaline 1:200000; the dose of lignocaine administered varied from 3.8 mg/kg to 4.9 mg/kg. Plasma adrenaline increased by 326% and plasma noradrenaline by 75% at 10 minutes after completion of the block. Mean heart rate increased from 75 to 94 beats/minute after 20 minutes, whilst there were no obvious changes in systolic and diastolic arterial pressures. Potentially serious arrhythmias developed in two patients, thought to be related to the peak plasma concentrations of adrenaline produced. It is recommended that the dose of adrenaline used as described for this block should be reduced. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：7 / 10

页数：4

共 16 条

[1]

Atkinson R. S., 1982, SYNOPSIS ANAESTHESIA

[2]

BARBER WB, 1985, ANESTH ANALG, V64, P924

[3] COMPARISON OF FENTANYL AND HALOTHANE SUPPLEMENTATION TO GENERAL-ANESTHESIA ON THE STRESS RESPONSE TO UPPER ABDOMINAL-SURGERY [J].

CAMPBELL, BC ;

PARIKH, RK ;

NAISMITH, A ;

SEWNAUTH, D ;

REID, JL .

BRITISH JOURNAL OF ANAESTHESIA, 1984, 56 (03) :257-261

[4] CHANGES IN PLASMA-CATECHOLAMINE CONCENTRATIONS FOLLOWING INFILTRATION WITH LARGE VOLUMES OF LOCAL-ANESTHETIC SOLUTION CONTAINING ADRENALINE [J].

COTTON, BR ;

HENDERSON, HP ;

ACHOLA, KJ ;

SMITH, G .

BRITISH JOURNAL OF ANAESTHESIA, 1986, 58 (06) :593-597

[5] SYMPATHOADRENAL RESPONSES TO ANESTHESIA AND SURGERY [J].

DERBYSHIRE, DR ;

SMITH, G .

BRITISH JOURNAL OF ANAESTHESIA, 1984, 56 (07) :725-739

[6] PLASMA-CATECHOLAMINE RESPONSES TO TRACHEAL INTUBATION [J].

DERBYSHIRE, DR ;

CHMIELEWSKI, A ;

FELL, D ;

VATER, M ;

ACHOLA, K ;

SMITH, G .

BRITISH JOURNAL OF ANAESTHESIA, 1983, 55 (09) :855-860

[7] PLASMA-CATECHOLAMINE LEVELS DURING LOCAL-ANESTHESIA FOR CATARACT OPERATIONS [J].

DONLON, JV ;

MOSS, J .

ANESTHESIOLOGY, 1979, 51 (05) :471-473

[8]

ERIKSSON E, 1979, ILLUSTRATED HDB LOCA

[9]

FLANAGAN L, 1981, SURG GYNECOL OBSTET, V153, P557

[10] PREOPERATIVE ASSESSMENT OF ANXIETY AND MEASUREMENT OF ARTERIAL PLASMA-CATECHOLAMINE CONCENTRATIONS - THE EFFECT OF ORAL BETA-ADRENERGIC-BLOCKADE WITH METOPROLOL [J].

JAKOBSEN, CJ ;

BLOM, L .

ANAESTHESIA, 1989, 44 (03) :249-252

← 1 2 →