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頁籤選單縮合
題 名 | Patient Safety and Comfort with Twice the Usual Dose of Lidocaine for Topical Anesthesia in Bronchoscopic Examinations=使用較大劑量lidocaine於支氣管鏡檢的經驗 |
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作 者 | 何明霖; 林明泰; 林慶雄; 溫仁和; 林楷煌; 王竹賢; 孫健聰; | 書刊名 | 胸腔醫學 |
卷 期 | 16:3 2001.09[民90.09] |
頁 次 | 頁168-178 |
分類號 | 415.412 |
關鍵詞 | 支氣管鏡; 局部麻醉; Bronchoscopy; Lidocaine; |
語 文 | 英文(English) |
中文摘要 | 支氣管鏡對於診斷各種肺臟疾病,一直是個重要的角色。但是在臺灣,大部份的人對於醫師安排支氣管鏡檢,總是有種不舒服的感覺。他們常先入為主地感覺痛苦和掛慮。此時,實行一種有效的局部麻醉來提高支氣管鏡檢過程中的耐受性和舒適感,就顯得非常重要。我們比較二種不同劑量的lidocaine以相同的局部麻醉方式藉由監視設備與回饋問卷,經由visual analog scale (VAS)的統計分析,來評估局部使用lidocaine不同劑量的優缺點。在我們的二個分組中,在分組人數,年齡,性別和吸煙比率沒有明顯地統計學上差別。從我們的結果得知:使用大劑量群(>6 mg/kg)比小劑量群(3-4 mg/kg)的確有較好的舒服感或有意願重做支氣管鏡檢的認同。同時,我們也發現較大劑量的局部注射沒有引起到達中毒劑量之血漿濃度和相關的副作用。 |
英文摘要 | Background: Adequate local anesthesia is very important in bronchoscopic examinations. In this report, we want to compare the usual dose of lidocaine to a large dose, to determine whether a large dose still provides safe and comfort to the patient. Method: This study compares two different dosages of local lidocaine anesthesia without premedication. The outpatients (n=62) received 4% lidocaine by nasal spray and 1% lidocaine by bronchoscopic administration. Group A patients were administered a small dosage (3-4 mg/kg), and group B was given a large dose (6-7 mg/kg). After Flexible fiberoptic bronchoscope (FFB), a visual analog scale (VAS) and severity scale questionnaire was administered to the patients and bronchoscopists, scoring the comfort of the FFB procedure. Results: In our two groups, there were no obvious differences in number, mean age, sex, or smoking ratio. Furthermore, no significant changes in BP, HR or SpO2 in these two groups were found. There were fewer post-FFB complaints about coughing and throat pain in group B than in group A (p<0.05). In addition, group B considered an additional brochoscopy more acceptable than did group A (p<0.05). Therefore, we may propose that a larger dose of lidocaine is better than a small dose for making patients comfortable and more willing to repeat FFB. Conclusion: Although the amount of lidocaine used in this study exceeded the recommended high dose (4-6 mg/kg, total 300mg) for patients, no toxic plasma concentrations were observed with the large dose (> 4mg/kg). A large dose (6-7 mg/kg) of local lidocaine is a safe and easily administered method, allowing for patient comfort during the FFB procedure. |
本系統中英文摘要資訊取自各篇刊載內容。