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    髓內通路放置后的利多卡因應用(Lidocaine after IO Line Placement)
    原作者: Bryan Hayes, 肖鋒譯 文章來源: 中華急診醫學雜志編輯部 發布日期:2013-02-11

    Title: Lidocaine after IO Line Placement
    Author作者: Bryan Hayes

    Intraosseus (IO) access has become quite popular in critically ill patients requiring immediate resuscitation. In a patient responsive to pain, however, pain and discomfort is associated with the force of high-volume infusion through the established line.
    • Before flushing the line, consider administering preservative-free 2% lidocaine (without epinephrine) for patients responsive to pain prior to flush.
    • 在沖洗髓內通道前,對有疼痛感的病人,可考慮注射沒有防腐劑的2%利多卡因(無腎上腺素)。
    • The suggested dose is 20-40 mg (1-2 mL) of the 2% lidocaine, followed by the 10 mL saline flush.
    • 建議劑量是20-40mg(1-2ml)的2%的利多卡因,然后再用10ml生理鹽水沖一下。
    If preservative-free 2% lidocaine is not stocked in your ED, now is the time to consider adding it.

    Fowler RL, Pierce, Nazeer S, et al. Powered intraosseous insertion provides safe and effective vascular access for emergency patients. Ann Emerg Med 2008;52(4):S152.

    Ong MEH, Chan YH, Oh JJ, et al. An observational, prospective study comparing tibial and humeral intraosseus access using EZ-IO. Am J Emerg Med 2009;27(1):8-15. [PMID 19041528]