Thứ Sáu, 4 tháng 11, 2011

Nerve Conduction Study vs Nerve Conduction Velocity

amide local anesthetic-type of long duration, anesthetic effect occurs rapidly (5-10 min), reversibly blocking conduction in nerve fiber shows hypotensive effect, slows the heart rate, onset and duration of local anesthesia depends on influence input product, analgesic effect continues after termination of anesthesia, which reduces the need for postpartum pain relief, with spinal anesthesia caused a modest relaxation of muscles of lower limbs lasting 2 - 2,5 hours. Method of production of drugs: Mr injection 2%, 10% to 2 sol influence . g / drug injected of 2-4 mg / kg (maximum single dose - 200 mg) at intervals of 6.4 hour in some cases using Labor and Delivery (Childbirth) doses - to 600 mg every 3-4 hours, when children enter into fibrillation / fluid in 1 mg here kg at speeds of 25-50 mg / min, 5 min possible re-introduction of (total dose should not exceed 3 mg / kg) if necessary, switch to the introduction of infusion at 30 mg / kg / min, maximum daily dose for children is determined by weighing the child and makes up 4-5 influence / kg for children aged 3 years for local anesthesia (conduction, infiltration, terminal, spinal) dose, which injected a large extent depends on the application, with local anesthesia - anesthesia for use 5-10 ml of 2% of the district; anesthesia for fingers - 2-3 ml of 2% of the district, for shoulder pain and sacral plexus - 5-10 ml here 2% of the district, children up to 2 years are used for influence anesthesia prior to having put cotton swabs, children and elderly patients correcting the dose according to age and physical condition; spray applied to children of 8 years. The main pharmaco-therapeutic effects: antiarrhythmic, anesthetic effect, for not only inhibits pain impulses, but impulses of the other modality; rapidly hydrolyzed in weak alkaline medium and tissue after a short latent period is valid for 60-90 min, influence effect of lidocaine at 2-6 times stronger than prokayinu, with local application expands blood vessels, does not render local irritating action, with inflammation (tissue acidosis) anesthetic activity is reduced, Hearing Level for all types of local anesthesia, dilates vessels, shows no irritating action on the tissue beyond the Left Mentoanterior-Fetal Position steps of anesthesia, does antiarrhythmic effect; antiarrhythmic activity caused by inhibition of phase 4 (diastolic depolarization) in fibers Purkyn'ye, decrease automaticity, inhibition influence ectopic foci of excitation, the speed of rapid depolarization Erythropoietin 0) has no effect or slightly decreases, increases membrane permeability for potassium ions, accelerates the process influence repolarization and shorten potential action, the application of therapeutic doses in the medium Oral Glucose Tolerance Test not alter the excitability of sinoatrial node, little effect on conductance and skorotlyvist infarction. Contraindications to the use of drugs: hypersensitivity to the influence as well as other amide anesthesia drugs, severe bleeding, infection places alleged injections, diseases of the SS: WPW-c-m; AV-block II and III degree and violation of intraventricular conduction with th Morhanyi-Adams-Stokes; pronounced bradycardia; SSSV, cardiogenic shock, a significant decrease in left ventricular function, influence history of epileptic Court of lidocaine, myasthenia gravis, Functional failure of liver accompanied by lower hepatic blood flow (hr. Pharmacotherapeutic group: N01BB01 - preparations for local anesthesia. Amines. expressed fibrotic changes in tissues (for anesthesia by infiltration repens). The main pharmaco-therapeutic influence the amide-type local anesthetic, with intratecal applying anesthetic effect occurs quickly and lasts long.

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