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Titlebook: New Aspects in Regional Anesthesia 4; Major Conduction Blo Hans Joachim Wüst,M. d’Arcy Stanton-Hicks (Profess Conference proceedings 1986 S

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發(fā)表于 2025-3-21 17:15:09 | 只看該作者 |倒序?yàn)g覽 |閱讀模式
書目名稱New Aspects in Regional Anesthesia 4
副標(biāo)題Major Conduction Blo
編輯Hans Joachim Wüst,M. d’Arcy Stanton-Hicks (Profess
視頻videohttp://file.papertrans.cn/665/664840/664840.mp4
叢書名稱Anaesthesiologie und Intensivmedizin‘ Anaesthesiology and Intensive Care Medicine
圖書封面Titlebook: New Aspects in Regional Anesthesia 4; Major Conduction Blo Hans Joachim Wüst,M. d’Arcy Stanton-Hicks (Profess Conference proceedings 1986 S
描述Major conduction blocks utilizing local anesthetics or opiates are find- ing ever increasing applications in daily routine. However, two serious drawbacks are associated with their use: hypotension during surgery and the development of tolerance in long-term epidural analgesia. When opiates are injected epidurally or intrathecally, numerous side effects such as itching, nausea and vomiting, or respiratory depression have been reported. The pathophysiology of complications arising during a major conduction block and measures to prevent them were discussed by 19 experts at the 4th International Symposium at DUsseldorf. This volume contains 21 papers presented on three topics: 1. tachyphylaxis in long-term epidural anesthesia, 2. hypotension due to epidural and spinal anesthesia, and 3. effects and dangers of epidural and intrathecal opiates. With regard to the safety of our patients during anesthesia, current practices of preventing complications were evaluated, and preliminary guidelines for a more rational approach toward prevention and treat- ment based on a knowledge of pathophysiologic mechanisms were developed. It is our hope that the anesthesiologist will profit from the discu
出版日期Conference proceedings 1986
關(guān)鍵詞Opiate; complications; pain; pathophysiology; prevention; surgery
版次1
doihttps://doi.org/10.1007/978-3-642-70807-7
isbn_softcover978-3-540-15938-4
isbn_ebook978-3-642-70807-7Series ISSN 0171-1814
issn_series 0171-1814
copyrightSpringer-Verlag Berlin Heidelberg 1986
The information of publication is updating

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沙發(fā)
發(fā)表于 2025-3-21 23:28:36 | 只看該作者
板凳
發(fā)表于 2025-3-22 03:19:26 | 只看該作者
Tachyphylaxis and Local Anestheticsty of nerve blockade, becoming with observable with repeated injections. However, studies of single nerves or nerve fibers in vitro do not show any such effect. Nerve block obtained with a local anesthetic can be reversed and reinstituted almost indefinitely by washing out and rebathing the preparat
地板
發(fā)表于 2025-3-22 05:53:56 | 只看該作者
5#
發(fā)表于 2025-3-22 11:52:46 | 只看該作者
Pharmacologic Regulation of Local Anesthetic Conduction Block by Cyclic AMPe most popular concept suggests that there is a reduction in the amount of free base available for block due to a progressive decrease in local pH. An alternative hypothesis suggests that tachyphylaxis may be due to a true reduction in effect of the local anesthetic at the receptor level. Further pr
6#
發(fā)表于 2025-3-22 15:33:08 | 只看該作者
Panel Discussion: Tachyphylaxis and Local Anestheticsanesthetics were verified by pin prick or by measuring sympathetic activity. In investigating this problem, it is very important to measure pain. Tachyphylaxis has been under discussion for about 13 years. Why has nobody done a prospective randomized study?
7#
發(fā)表于 2025-3-22 18:28:33 | 只看該作者
Pathophysiology of Hypotension Induced by Spinal/Epidural Analgesia maintain blood pressure [1]. Imbalance between vasodilatation and vasoconstriction is the most common mechanism underlying hypotension associated with spinal/epidural analgesia and occurs if the block is widespread or in the presence of hypovolemia, even with a limited block [2]. The mechanism for
8#
發(fā)表于 2025-3-23 01:12:49 | 只看該作者
Direct Vascular Effects of Some Local Anesthetics: A Mechanical and Electrophysiological Studyferent mechanisms. When analyzing the cardiovascular effects of LA it is necessary to make a basic distinction between their direct effects, which result from systemic administration or from absorption into vessels when they are applied locally, and their indirect effects, which arise from the block
9#
發(fā)表于 2025-3-23 03:30:36 | 只看該作者
Subarachnoid Block Spares Visceral Blood Flow and Drug Elimination Capacitylow which may alter the disposition of, or response to, any drugs they may receive [1,2]. There is little information to guide rational therapy, as much of the available information about drug disposition has been obtained using the compartmental method. Although it has proved very useful, this meth
10#
發(fā)表于 2025-3-23 08:04:20 | 只看該作者
Severe Hypotension and Major Conduction Anesthesiacerned. One must expect myocardial ischemia as shown by ECG changes in patients with cardio circulatory disease who suffer hypotension lasting longer than 10 min [10]. Likewise, a pressure-dependent, restricted cerebral blood flow might result in serious hypoxic brain injuries. A severe reduction in
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