国际麻醉学与复苏杂志   2011, Issue (6): 1-1
    
脂肪乳用于脂溶性药物急性毒性的救治
张鸿飞, 徐世元1()
1.兰州大学第二医院麻醉科
Resuscitation of cardiotoxicity from lipophilic agents’ overdose with Lipid emulsion
 全文:
摘要:

脂肪乳(lipid emulsion,LE)复苏治疗主要指输注LE可救治布比卡因等局麻药物中毒所致的顽固性心搏骤停。最近,研究表明LE亦可用于多种脂溶性药物心血管系统毒性的治疗。LE这一新用途具有里程碑意义,但其机制尚不清楚,目前推测可能主要为“脂质池”效应。未来应重点关注LE救治有效的确切机制,寻求临床适用的最佳使用方法。

关键词: 脂肪乳剂;药物毒性,心脏;脂溶性
Abstract:

LipidRescue™ resuscitation refers to the use of an intravascular infusion of a lipid emulsion to treat local anesthetic systemic toxicity. More recently, LipidRescue™ has been proposed (in articles in the ER literature and elsewhere) as a treatment modality for poisoning or overdose by lipophilic agents in general. The method is of milestone meaning for treatment of lipophilic agents overdose.Further work is required to explore mechanism of lipid emulsion on resuscitation of local anesthetic toxicity and optimize the treatment regimens with respect to efficacy and safety of lipid rescue.

Key words: Lipid emulsion; Cardiac toxicity; Lipophilic agent