本帖最后由 shenxiu2 于 2010-7-12 19:41 编辑
Anaesthesia, 2008, 63, pages 385–388
Availability of lipid emulsion in obstetric anaesthesia in the UK: a national questionnaire survey
Summary
There is evidence that administration of lipid emulsion improves outcome in cardiovascular collapse secondary to local anaesthetic toxicity. We sent a questionnaire to the lead consultant anaesthetist in every consultant-led labour ward in the UK asking about local guidelines for treatment of cardiac arrest, and whether or nor lipid emulsion was available on the labour ward and included in the guideline. We received replies from 195 (86%) labour wards. One hundred and seven (55%) reported having a guideline for the treatment of cardiovascular collapse secondary to local anaesthetic toxicity. Of these guidelines, lipid emulsion was included in 78 (40%). Lipid emulsion was readily available on 95 labour wards (49%). Of the remaining units, there were plans to make lipid available in the near future in 46 (46%). Of the 95 labour wards where lipid emulsion was readily available, 80 (84%) had a recommended dose regimen for its administration. Around three-quarters of labour wards in the UK either have lipid emulsion available or plan to obtain it. This uptake should ideally be 100%.
英国调查问卷:脂肪乳剂在产科麻醉中的可用性
摘要
有证据表明,脂肪乳剂的有效使用能够改善因心血管接受局部麻醉而引发的毒性反应。我们向首席顾问麻醉师发出了调查问卷,询问其所领导的每一个英国产科病房的麻醉师们,在当地医院治疗心脏骤停的病人时,是否有相应的治疗方案。同时,该治疗方案中又是否包含脂肪乳的使用。我们总计收到195份来自于产房(86%)的报告,其中有107份(55%)报告称,在治疗局部麻醉继发性心血管崩溃的案例中,使用了现成的应对治疗方案。在这些治疗方案中,又有78例(40%)使用了脂肪乳。有95家(47%)产科病房将脂肪乳作为医院的常备药。剩下的单位中,也有46家计划在近期内将脂肪乳作为常备药。在这95家产科病房中,又有80家(84%)对脂肪乳的使用有建议剂量疗程。目前在英国,大约有3/4的产科病房有现成的脂肪乳,或是已经开始计划储备脂肪乳。脂肪乳的理想储备率应提高到100%。
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