Spino
Rx0.5%+8% • ইন্ট্রাস্পাইনাল ইনজেকশন
ইঙ্গিত ও ব্যবহার
Vaspine intraspinal injection is indicated for- lower abdominal surgery (including Caesarean section), urological and lower limb, including hip surgery, lasting 1.5 to 3 hours. intrathecal (subarachnoid, spinal) anesthesia for surgical and obstetrical procedures. This ... Read moreVaspine intraspinal injection is indicated for- lower abdominal surgery (including Caesarean section), urological and lower limb, including hip surgery, lasting 1.5 to 3 hours. intrathecal (subarachnoid, spinal) anesthesia for surgical and obstetrical procedures. Vaspine intraspinal injection produces motor blockade of the abdominal muscles makes the solution suitable for performance of abdominal surgery lasting 1.5-2 hours. The duration of motor blockade does not exceed the duration of analgesia.
ডোজ নির্দেশিকা
শুধুমাত্র নির্দেশিকা তথ্য
প্রদর্শিত ডোজগুলি সরকারি উৎসের সাধারণ নির্দেশিকা। ব্যক্তিগতকৃত ডোজের জন্য সর্বদা আপনার ডাক্তার বা ফার্মাসিস্টের পরামর্শ নিন।
প্রাপ্তবয়স্ক:
The following dosage recommendations should be regarded as a guide for use in the average adult: Spinal anesthesia for surgery: 2-4 ml (10-20 mg Bupivacaine hydrochloride) The patient's physical status and concomitant medication should be considered when deciding the dose, and the lowest dose required for adequate anesthesia should be used. Duration varies with dose, while segmental spread may be difficult to predict, especially with the isobaric (plain) solution. The dose should be reduced in the elderly and in patients in the late stages of pregnancy.Pediatrics: Bupivacaine may be used in children. One of the differences between small children and adults is a relatively high CSF volume in infants and neonates, requiring a relatively larger dose/kg to produce the same level of block as compared to adults. <5 kg: 0.40-0.50 mg/kg 5 to 15 kg: 0.30-0.40 mg/kg 15 to 40 kg: 0.25-0.30 mg/kg
পার্শ্বপ্রতিক্রিয়া
The adverse reaction profile for Bupivacaine is similar to those for other long acting local anesthetics administered intrathecally. Adverse reactions caused by the drug per se are difficult to distinguish from the physiological effects of the nerve block (e.g. decrease in blood pressure, bradycardia, temporary urinary retention), events caused directly (e.g. nerve trauma) or indirectly (e.g. epidural abscess) by the needle puncture or events associated to cerebrospinal leakage.
সতর্কতা ও নিষেধাজ্ঞা
সতর্কতা ও সাবধানতা
Local anesthetics react with certain metals and cause the release of their respective ions which, if injected, may cause severe local irritation. The ampoules are designed for single use only; any unused portions of solutions should be discarded. The solution should be used immediately after opening the ampoule. Solutions showing discoloration should not be used.
নিষেধাজ্ঞা
General contraindications related to intrathecal anesthesia should be taken into account absolute Allergy or hypersensitivity to amide type local anesthetics. Detection of suspected sensitivity by skin testing is of limited value. Acute active diseases of the cerebrospinal system such as meningitis, tumours (primary or secondary), and poliomyelitis, subacute combined degeneration of the spinal cord, cranial haemorrhage, demyelinating disease and raised intracranial pressure. Spinal stenosis and active disease or recent trauma in the vertebral column. Relative: Arthritis and other diseases of the vertebral column are relative contraindications due to technical difficulties in performing a spinal injection.