论文信息 - Thoracic outlet obstruction during neurosurgical positioning

Thoracic outlet obstruction during neurosurgical positioning

the references included by the authors and the AAGBI guidelines on the use of Intralipid for treatment of local anaesthetic toxicity, we found that all recommend the dose of Intralipid as 1.5 ml.kg of 20% solution which amounts to 21 g for a 70-kg patient. Williamson and Haines mention a dose of 1.5 mg.kg of Intralipid 20% which amounts to 105 mg for a 70-kg patient. There is a huge dose difference in the two mentioned dose regimens and it needs to be clarified that the dose recommended in all the references is ml.kg of 20% Intralipid solution rather than mg.kg.

S. Shinde | C. Oliver | R. Mouton

[1] W. Chambers. Nerve blocks in palliative care. , 2008, British journal of anaesthesia.

[2] M. Vavilala,et al. Risks and benefits of patient positioning during neurosurgical care. , 2007, Anesthesiology clinics.

[3] G. Nieman,et al. Invasive arterial BP monitoring in trauma and critical care: effect of variable transducer level, catheter access, and patient position. , 2001, Chest.

[4] W. Chambers,et al. A simple method of using epidural analgesia in palliative medicine , 2001, Palliative medicine.

[5] J. Butterworth,et al. Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies: A Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies , 2000, Anesthesiology.

[6] L. Radbruch,et al. Assessment and treatment of neuropathic cancer pain following WHO guidelines , 1999, Pain.

[7] N. Waterman,et al. Control of cancer pain by epidural infusion of morphine. , 1992, Surgery.