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題 名 | 脂肪乳劑治療局部麻醉藥品全身毒性=Intravenous Lipid Emulsion Therapy for Local Anesthetic Systemic Toxicity |
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作 者 | 李建澄; 洪乃勻; 黃志偉; 李宜勳; 羅怡琳; | 書刊名 | 藥學雜誌 |
卷 期 | 35:1=138 2019.03[民108.03] |
頁 次 | 頁91-96 |
分類號 | 418.2182 |
關鍵詞 | 靜脈注射脂肪乳劑; 局部麻醉藥品全身毒性; 高級心臟救命術; Intravenous lipid emulsion; ILE; Local anesthetic systemic toxicity; LAST; Advanced cardiovascular life support; ACLS; |
語 文 | 中文(Chinese) |
中文摘要 | 近來使用脂肪乳劑治療藥品中毒的案例逐年增加,雖然脂肪乳劑用於治療高脂溶 性口服藥品過量方面仍有爭議,但用於人類和動物都證明在某些情況下可逆轉局部 麻醉藥品所造成全身毒性的影響。儘管目前尚未確定脂肪乳劑用於治療局部麻醉藥 品全身毒性最適合的濃度及劑量等,美國區域麻醉與疼痛醫學協會 (American Society of Regional Anesthesia and Pain Management,ASRA) 和英國大不列顛和愛爾蘭麻醉師 協會 (Association of Anaesthetists of Great Britain and Ireland,AAGBI) 制定的治療指 引仍建議,當疑似局部麻醉藥品全身毒性造成心臟停搏等嚴重症狀發生時,應給予脂 肪乳劑。本文旨在探討脂肪乳劑用於局部麻醉藥品全身毒性 (local anesthetic systemic toxicity,LAST) 之治療。 |
英文摘要 | The use of lipid emulsions for treatment of drug poisoning is increasing in recent years. Although the role of ILE on oral overdoses of highly fat-soluble drugs is controversial, both human and animal studies attest to the effectiveness for reversing systemic toxicity in some case of LAST. There is still much that we do not know about the optimal concentration and administration dose of lipid emulsions. The guidelines from the American Society for Regional Anesthesia and Pain Medicine and the Association of Anaesthetists of Great Britain and Ireland suggest that lipid emulsion should be administered, if cardiac arrest is suspected to be a result of LAST. This article discussed the use of lipid emulsions for the treatment of local anesthetic systemic toxicity. |
本系統中英文摘要資訊取自各篇刊載內容。