利多卡因在预防全身麻醉拔管呛咳中的应用进展
Application Progress of Lidocaine in Preventing Cough after Extubation of General Anesthesia
DOI: 10.12677/ACM.2024.143835, PDF,   
作者: 郭晓帮：延安大学医学院，陕西 延安；张海亮*：延安大学附属医院，陕西 延安
关键词: 利多卡因；全身麻醉；拔管；呛咳反应；预防；Lidocaine； General Anesthesia； Extubation； Choking Reaction； Prevention
摘要: 在全身麻醉后气管拔管过程中，吸痰拔管的机械刺激不仅会引起咳嗽、支气管痉挛等气道反应，还会引起血流动力学波动，如高血压、心动过速、心律失常等，导致心脑血管事故甚至危及生命的事件。目前，利多卡因为临床常用的表面麻醉剂来预防呛咳反应的发生。本文综述了利多卡因在预防全身麻醉拔管呛咳中的不同 方式的研究进展。
Abstract: During extubation after general anesthesia, mechanical stimulation of sputum aspiration and ex-tubation not only causes airway reactions such as coughing and Bronchospasm, but also causes He-modynamics fluctuations, such as hypertension, tachycardia, arrhythmia, etc., leading to cardio-vascular and cerebrovascular accidents and even life-threatening events. At present, lidocaine is commonly used as a surface anesthetic to prevent the occurrence of choking reaction. This article reviews the research progress of different application methods of lidocaine in preventing cough during extubation of general anesthesia.
文章引用：郭晓帮, 张海亮. 利多卡因在预防全身麻醉拔管呛咳中的应用进展[J]. 临床医学进展, 2024, 14(3): 1249-1254. https://doi.org/10.12677/ACM.2024.143835

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