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首页> 外文期刊>Journal of Clinical and Experimental Investigations >Status epilepticus induced by intrathecal bupivacaine use: A case report
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Status epilepticus induced by intrathecal bupivacaine use: A case report

机译:鞘内注射布比卡因引起的癫痫持续状态:一例报告

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Local anesthetics are commonly used as analgesics and anesthetics. Local anesthetics from the amide group may lead to symptoms of the central nervous system (CNS) such as depression, seizures or altered mental state, while they may lead to arrhythmia in the cardiovascular system (CVS). The causes of the neurologic complications observed with spinal local anesthetics are the administration of high doses, rapid entry into the systemic circulation, erroneous administration through the IV route, or the diffusion of the drug towards the cephalic region. Bupivacaine is among the most commonly used local anesthetics from the amide group. However rare, neurological injury after administered bupivacaine can be distressing to patients and their families. In our patient, we have administered bupivacaine through the intrathecal route. Thus, we would like to present a case where status epilepticus in the form of generalised tonic-clonic seizures (GTC) has developed subsequent to the intrathecal administration of bupivacaine
机译:局部麻醉药通常用作镇痛药和麻醉药。酰胺类的局部麻醉药可能导致中枢神经系统(CNS)症状,例如抑郁,癫痫发作或精神状态改变,而它们可能导致心血管系统心律失常。用脊椎局部麻醉药观察到的神经系统并发症的原因是大剂量给药,快速进入体循环,通过静脉内途径错误给药或药物向头侧扩散。布比卡因是酰胺类中最常用的局部麻醉剂。然而,罕见的是,布比卡因给药后的神经系统损伤可能会困扰患者及其家人。在我们的患者中,我们通过鞘内途径施用了布比卡因。因此,我们想提出一种情况,在鞘内注射布比卡因后,全身性强直-阵挛性癫痫发作(GTC)形式的癫痫持续状态

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