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Have you mastered all the pharmacological effects of lidocaine?(1)

Mar 27, 2022 Deixe um recado

1. Lidocaine Powder can improve nerve therapy, treat the sympathetic nerves of blood vessels, reduce its effect on the inner ear canal, make the inflammatory circulation play a role, make the side effects of vascular endoscopy, and make the impact of neurovascular smaller blood vessels supply blood, remove Visceral vascular occlusion

2. Prevention of cardiovascular reactions during tracheal extubation For endotracheal intubation in patients with general anesthesia, the anesthetic dose should be reduced to the point where the laryngotracheal reflex recovers before the end of the operation. Cardiovascular reactions similar to those during intubation can occur during extubation. It can also cause choking, which is hugely unfavorable for patients with hypertension, coronary heart disease, and high intracranial pressure. Lidocaine can prevent this reaction; the usage is lidocaine 1.5 mg/kg intravenously. The mechanism is related to central inhibition or inhibition of the heart.

3. treatment of severe neonatal convulsions: For those with recurrent seizures, the first loading dose of lidocaine is 2 mg/kg, plus the initial maintenance dose of 6 mg/kg intravenously per hour, and the dose is gradually reduced within three days.

4. For gastroscopic intubation examination, put 2 percent lidocaine into the mouth, swallow slowly for 5 minutes, and perform an intubation examination after 10 minutes. Compared with the 2 percent tetracaine spray method, lidocaine has the advantages of time-saving, simplicity and less pain, and lidocaine has a sedative effect, which can relieve the patient's nervousness and reduce gastric secretion and gastric motility.

5. Treatment of acute gastric abdominal pain is caused chiefly by acute indigestion and increased gastric acid secretion, mucosal congestion and edema, and even spasm. Oral lidocaine powder can relieve such pain; the usage is 2 percent lidocaine 15 mg orally.

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