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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
    題目:髓內通路放置后的利多卡因應用
    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.
    在需要緊急復蘇的危重病人搶救中,骨髓內通道的應用已非常普遍。但是,對于一個對疼痛有感覺的病人,疼痛和不適可能會需要增加快速液體復蘇的壓力。
    • 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.
    如果你們科里沒有儲存沒有防腐劑的2%利多卡因,現在應該把它加上了。

    References參考文獻
    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]

    文章來源:中華急診醫學雜志編輯部

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