{"id":138452,"date":"2025-09-12T15:43:17","date_gmt":"2025-09-12T08:43:17","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=138452"},"modified":"2025-09-12T15:47:41","modified_gmt":"2025-09-12T08:47:41","slug":"lidocain-40mg-2ml-vinphaco","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/lidocain-40mg-2ml-vinphaco\/","title":{"rendered":"Lidocain 40mg\/2ml Vinphaco"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y,<\/strong> <a href=\"https:\/\/vnras.com\/drug\/\"><strong>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/strong><\/a><strong> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c<\/strong> <strong>Lidocain 40mg\/2ml Vinphaco \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m V\u0129nh Ph\u00fac, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110688924 (VD-24901-16).<\/strong><\/p>\n<h2>Lidocain 40mg\/2ml Vinphaco l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><strong>Lidocain 40mg\/2ml<\/strong> Vinphaco l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u00e0 ch\u1ed1ng lo\u1ea1n nh\u1ecbp, c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Th\u00e0nh ph\u1ea7n d\u01b0\u1ee3c ch\u1ea5t: Lidocain hydroclorid 40mg.<\/li>\n<li>Th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c: Natri clorid, dung d\u1ecbch NaOH 0,1N, n\u01b0\u1edbc c\u1ea5t pha ti\u00eam v\u1eeba \u0111\u1ee7 2ml.<\/li>\n<\/ul>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 893110688924 (VD-24901-16)<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 100 \u1ed1ng x 2ml; H\u1ed9p 2 v\u1ec9 x 10 \u1ed1ng x 2ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<figure id=\"attachment_138456\" aria-describedby=\"caption-attachment-138456\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-138456\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco.jpg\" alt=\"Lidocain 40mg\/2ml Vinphaco g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 ni\u00eam m\u1ea1c tr\u01b0\u1edbc\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lidocain-40mg2ml-inphaco-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-138456\" class=\"wp-caption-text\">Lidocain 40mg\/2ml Vinphaco g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 ni\u00eam m\u1ea1c tr\u01b0\u1edbc<\/figcaption><\/figure>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Lidocain 40mg\/2ml Vinphaco<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Lidocain thu\u1ed9c nh\u00f3m thu\u1ed1c g\u00e2y t\u00ea amid c\u00f3 t\u00e1c d\u1ee5ng trung b\u00ecnh v\u00e0 l\u00e0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m IB. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng ch\u00ednh c\u1ee7a thu\u1ed1c l\u00e0 ch\u1eb9n k\u00eanh natri (Na+) tr\u00ean m\u00e0ng t\u1ebf b\u00e0o.<\/p>\n<ul>\n<li>Tr\u00ean s\u1ee3i th\u1ea7n kinh: Lidocain phong b\u1ebf c\u1ea3 s\u1ef1 ph\u00e1t sinh v\u00e0 d\u1eabn truy\u1ec1n xung \u0111\u1ed9ng th\u1ea7n kinh b\u1eb1ng c\u00e1ch gi\u1ea3m t\u00ednh th\u1ea5m c\u1ee7a m\u00e0ng t\u1ebf b\u00e0o th\u1ea7n kinh v\u1edbi ion natri. \u0110i\u1ec1u n\u00e0y gi\u00fap \u1ed5n \u0111\u1ecbnh m\u00e0ng, \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 lan truy\u1ec1n c\u1ee7a \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng, t\u1eeb \u0111\u00f3 l\u00e0m m\u1ea5t c\u1ea3m gi\u00e1c \u0111au. T\u00e1c d\u1ee5ng n\u00e0y khi\u1ebfn Lidocain tr\u1edf th\u00e0nh m\u1ed9t thu\u1ed1c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 hi\u1ec7u qu\u1ea3.<\/li>\n<li>Tr\u00ean t\u1ebf b\u00e0o c\u01a1 tim: Lidocain ch\u1eb9n c\u00e1c k\u00eanh Na+ m\u1edf v\u00e0 kh\u00f4ng ho\u1ea1t h\u00f3a c\u1ee7a tim. \u0110\u1eb7c bi\u1ec7t, thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh h\u01a1n tr\u00ean m\u00f4 tim b\u1ecb thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 (\u0111\u00e3 b\u1ecb kh\u1eed c\u1ef1c) so v\u1edbi tim kh\u00f4ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. B\u1eb1ng c\u00e1ch r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng v\u00e0 gi\u1ea3m t\u00ednh h\u01b0ng ph\u1ea5n, Lidocain gi\u00fap \u1ed5n \u0111\u1ecbnh m\u00e0ng t\u1ebf b\u00e0o c\u01a1 tim v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t.<\/li>\n<\/ul>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Sau khi ti\u00eam t\u0129nh m\u1ea1ch, Lidocain c\u00f3 n\u1eeda \u0111\u1eddi ban \u0111\u1ea7u kho\u1ea3ng 7-30 ph\u00fat, bi\u1ec3u th\u1ecb qu\u00e1 tr\u00ecnh ph\u00e2n b\u1ed1 t\u1eeb ng\u0103n trung t\u00e2m ra c\u00e1c m\u00f4 ngo\u1ea1i bi\u00ean. N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb cu\u1ed1i c\u00f9ng l\u00e0 1,5-2 gi\u1edd \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 3,2 gi\u1edd \u1edf tr\u1ebb em, ch\u1ee7 y\u1ebfu qua chuy\u1ec3n h\u00f3a \u1edf gan. Hi\u1ec7u l\u1ef1c c\u1ee7a thu\u1ed1c ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c duy tr\u00ec n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb (1,5-6 microgam\/ml) trong huy\u1ebft t\u01b0\u01a1ng. Thu\u1ed1c \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua n\u01b0\u1edbc ti\u1ec3u, kho\u1ea3ng 2% d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng \u0111\u1ed5i.<\/p>\n<h2>Thu\u1ed1c Lidocain 40mg\/2ml Vinphaco \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Thu\u1ed1c c\u00f3 hai nh\u00f3m ch\u1ec9 \u0111\u1ecbnh ch\u00ednh:<\/p>\n<ul>\n<li>G\u00e2y t\u00ea t\u1ea1i ch\u1ed7:\n<ul>\n<li>G\u00e2y t\u00ea ni\u00eam m\u1ea1c tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt th\u0103m kh\u00e1m, n\u1ed9i soi ho\u1eb7c \u0111\u1eb7t thi\u1ebft b\u1ecb y t\u1ebf.<\/li>\n<li>G\u00e2y t\u00ea t\u1eebng l\u1edbp, g\u00e2y t\u00ea phong b\u1ebf v\u00f9ng v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt phong b\u1ebf th\u1ea7n kinh nh\u01b0 g\u00e2y t\u00ea th\u1ea7n kinh ngo\u1ea1i vi, h\u1ea1ch giao c\u1ea3m, ngo\u00e0i m\u00e0ng c\u1ee9ng, khoang c\u00f9ng v\u00e0 t\u1ee7y s\u1ed1ng.<\/li>\n<\/ul>\n<\/li>\n<li>Ch\u1ed1ng lo\u1ea1n nh\u1ecbp:\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t sau nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c trong c\u00e1c th\u1ee7 thu\u1eadt tim m\u1ea1ch nh\u01b0 ph\u1eabu thu\u1eadt tim, th\u00f4ng tim.<\/li>\n<li>L\u00e0 thu\u1ed1c l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i t\u00e2m thu th\u1ea5t trong nh\u1ed3i m\u00e1u c\u01a1 tim, nh\u1ecbp nhanh th\u1ea5t v\u00e0 rung t\u00e2m th\u1ea5t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Lidocain 40mg\/2ml Vinphaco<\/h2>\n<p>Li\u1ec1u d\u00f9ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh t\u00f9y theo th\u1ec3 tr\u1ea1ng v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n<ul>\n<li>G\u00e2y t\u00ea t\u1eebng l\u1edbp: Li\u1ec1u lidocain t\u1edbi 4,5 mg\/kg khi kh\u00f4ng pha th\u00eam adrenalin; c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u th\u00eam m\u1ed9t ph\u1ea7n ba (t\u1edbi 7 mg\/kg) khi pha th\u00eam adrenalin.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp th\u1ea5t c\u1ea5p: Ch\u1ebf \u0111\u1ed9 li\u1ec1u n\u1ea1p ban \u0111\u1ea7u l\u00e0 3-4 mg\/kg trong 20-30 ph\u00fat, sau \u0111\u00f3 duy tr\u00ec b\u1eb1ng c\u00e1ch ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch 1-4 mg\/ph\u00fat.<\/li>\n<\/ul>\n<p>L\u01b0u \u00fd: C\u1ea7n gi\u1ea3m t\u1ed5ng li\u1ec1u n\u1ea1p ban \u0111\u1ea7u v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n duy tr\u00ec \u1edf b\u1ec7nh nh\u00e2n suy tim v\u00e0 b\u1ec7nh gan.<\/p>\n<h2>C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Lidocain 40mg\/2ml Vinphaco<\/h2>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng c\u00e1c \u0111\u01b0\u1eddng ti\u00eam sau: ti\u00eam b\u1eafp, ti\u00eam t\u0129nh m\u1ea1ch, ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam d\u01b0\u1edbi da.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Lidocain 40mg\/2ml Vinphaco trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi qu\u00e1 m\u1eabn v\u1edbi Lidocain ho\u1eb7c v\u1edbi c\u00e1c thu\u1ed1c t\u00ea nh\u00f3m amid kh\u00e1c.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 h\u1ed9i ch\u1ee9ng Adams &#8211; Stokes, h\u1ed9i ch\u1ee9ng Wolf &#8211; Parkinson &#8211; White, r\u1ed1i lo\u1ea1n xoang &#8211; nh\u0129 n\u1eb7ng, bl\u1ed1c nh\u0129 &#8211; th\u1ea5t \u1edf m\u1ecdi m\u1ee9c \u0111\u1ed9, suy c\u01a1 tim n\u1eb7ng, ho\u1eb7c bl\u1ed1c trong th\u1ea5t (khi kh\u00f4ng c\u00f3 thi\u1ebft b\u1ecb t\u1ea1o nh\u1ecbp).<\/p>\n<p>Ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Lidocain 40mg\/2ml Vinphaco<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>Nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c to\u00e0n th\u00e2n (LAST &#8211; Local Anesthetic Systemic Toxicity): \u0110\u00e2y l\u00e0 m\u1ed9t c\u1ea3nh b\u00e1o quan tr\u1ecdng. Qu\u00e1 li\u1ec1u ho\u1eb7c ti\u00eam nh\u1ea7m v\u00e0o m\u1ea1ch m\u00e1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ng\u1ed9 \u0111\u1ed9c to\u00e0n th\u00e2n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng tu\u1ea7n t\u1ef1 tr\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 tim m\u1ea1ch. C\u00e1c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u00f3 th\u1ec3 bao g\u1ed3m t\u00ea quanh m\u00f4i v\u00e0 \u0111\u1ea7u l\u01b0\u1ee1i, \u00f9 tai, nh\u00ecn m\u1edd, l\u00fa l\u1eabn, run v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh co gi\u1eadt. \u0110\u1ed9c t\u00ednh tr\u00ean tim m\u1ea1ch th\u01b0\u1eddng nghi\u00eam tr\u1ecdng h\u01a1n, g\u00e2y h\u1ea1 huy\u1ebft \u00e1p, ch\u1eadm nh\u1ecbp, lo\u1ea1n nh\u1ecbp, v\u00e0 th\u1eadm ch\u00ed ng\u1eebng tim.<\/p>\n<p>Gi\u1ea3m li\u1ec1u: C\u1ea7n s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u00e0 gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi b\u1ec7nh suy tim, suy gan, thi\u1ebfu oxygen m\u00e1u n\u1eb7ng, suy h\u00f4 h\u1ea5p n\u1eb7ng, ho\u1eb7c s\u1ed1c.<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng c\u00e1c ch\u1ebf ph\u1ea9m Lidocain c\u00f3 ch\u1ee9a ch\u1ea5t b\u1ea3o qu\u1ea3n \u0111\u1ec3 g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng, ngo\u00e0i m\u00e0ng c\u1ee9ng ho\u1eb7c khoang c\u00f9ng.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 h\u1ea1 huy\u1ebft \u00e1p v\u00e0 nh\u1ee9c \u0111\u1ea7u khi thay \u0111\u1ed5i t\u01b0 th\u1ebf. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0ng \u00edt g\u1eb7p h\u01a1n li\u00ean quan \u0111\u1ebfn \u0111\u1ed9c t\u00ednh to\u00e0n th\u00e2n, bao g\u1ed3m:<\/p>\n<ul>\n<li>Tim m\u1ea1ch: Bl\u1ed1c tim, lo\u1ea1n nh\u1ecbp, tr\u1ee5y tu\u1ea7n ho\u00e0n, ng\u1eebng tim.<\/li>\n<li>H\u00f4 h\u1ea5p: Kh\u00f3 th\u1edf, suy gi\u1ea3m ho\u1eb7c ng\u1eebng h\u00f4 h\u1ea5p.<\/li>\n<li>Th\u1ea7n kinh trung \u01b0\u01a1ng: Ng\u1ee7 l\u1ecbm, h\u00f4n m\u00ea, k\u00edch \u0111\u1ed9ng, n\u00f3i l\u00edu nh\u00edu, c\u01a1n co gi\u1eadt, \u1ea3o gi\u00e1c.<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Adrenalin: Ph\u1ed1i h\u1ee3p v\u1edbi Lidocain c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ed1c \u0111\u1ed9 h\u1ea5p thu v\u00e0 \u0111\u1ed9c t\u00ednh, t\u1eeb \u0111\u00f3 k\u00e9o d\u00e0i th\u1eddi gian t\u00e1c d\u1ee5ng c\u1ee7a Lidocain.<\/p>\n<p>Thu\u1ed1c ch\u1eb9n beta v\u00e0 Cimetidin: D\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a Lidocain \u1edf gan, l\u00e0m t\u0103ng nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c.<\/p>\n<p>C\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp kh\u00e1c: Ph\u1ed1i h\u1ee3p thu\u1ed1c t\u00ea nh\u00f3m amid v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u1ee9c ch\u1ebf c\u01a1 tim.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<p>Lidocain \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng nhi\u1ec1u trong ph\u1eabu thu\u1eadt cho ph\u1ee5 n\u1eef mang thai m\u00e0 kh\u00f4ng c\u00f3 b\u00e1o c\u00e1o v\u1ec1 t\u00e1c d\u1ee5ng c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi m\u1eb9 v\u00e0 thai nhi. Lidocain \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 v\u00e0o s\u1eefa m\u1eb9 v\u1edbi l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf, n\u00ean kh\u00f4ng c\u00f3 nguy c\u01a1 g\u00e2y t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i cho tr\u1ebb b\u00fa m\u1eb9.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>Do thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p ho\u1eb7c nh\u1ee9c \u0111\u1ea7u khi thay \u0111\u1ed5i t\u01b0 th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c khi g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Lidocain c\u00f3 ch\u1ec9 s\u1ed1 \u0111i\u1ec1u tr\u1ecb h\u1eb9p, n\u00ean ng\u1ed9 \u0111\u1ed9c n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u00f9ng li\u1ec1u cao h\u01a1n li\u1ec1u \u0111i\u1ec1u tr\u1ecb. C\u00e1c tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u bao g\u1ed3m an th\u1ea7n, l\u00fa l\u1eabn, h\u00f4n m\u00ea, co gi\u1eadt, suy h\u00f4 h\u1ea5p, v\u00e0 \u0111\u1ed9c t\u00ednh tim m\u1ea1ch nghi\u00eam tr\u1ecdng.<\/p>\n<p>X\u1eed tr\u00ed ng\u1ed9 \u0111\u1ed9c Lidocain to\u00e0n th\u00e2n (LAST):<\/p>\n<ul>\n<li>B\u01b0\u1edbc 1: Ng\u1eebng ti\u00eam thu\u1ed1c t\u00ea ngay l\u1eadp t\u1ee9c v\u00e0 g\u1ecdi h\u1ed7 tr\u1ee3 y t\u1ebf kh\u1ea9n c\u1ea5p.<\/li>\n<li>B\u01b0\u1edbc 2: Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf v\u00e0 h\u00f4 h\u1ea5p: Duy tr\u00ec th\u00f4ng kh\u00ed, cung c\u1ea5p 100% oxy v\u00e0 th\u1ef1c hi\u1ec7n h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3 n\u1ebfu c\u1ea7n.<\/li>\n<li>B\u01b0\u1edbc 3: S\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3i \u0111\u1ed9c \u0111\u1eb7c hi\u1ec7u: Ti\u00eam ngay nh\u0169 t\u01b0\u01a1ng lipid 20% (Intralipid 20%). Li\u1ec1u ban \u0111\u1ea7u l\u00e0 1,5 ml\/kg ti\u00eam t\u0129nh m\u1ea1ch trong 2-3 ph\u00fat, sau \u0111\u00f3 truy\u1ec1n duy tr\u00ec 0,25 ml\/kg\/ph\u00fat. C\u00f3 th\u1ec3 ti\u00eam nh\u1eafc l\u1ea1i li\u1ec1u bolus v\u00e0 t\u0103ng g\u1ea5p \u0111\u00f4i t\u1ed1c \u0111\u1ed9 truy\u1ec1n n\u1ebfu t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u1ea3i thi\u1ec7n, t\u1ed5ng li\u1ec1u kh\u00f4ng qu\u00e1 12ml\/kg.<\/li>\n<li>B\u01b0\u1edbc 4: H\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n: H\u1ed3i sinh tim ph\u1ed5i (CPR) khi c\u1ea7n thi\u1ebft. Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1eb9n k\u00eanh Calci, thu\u1ed1c ch\u1eb9n beta ho\u1eb7c Vasopressin.<\/li>\n<li>B\u01b0\u1edbc 5: \u0110i\u1ec1u tr\u1ecb co gi\u1eadt: S\u1eed d\u1ee5ng Benzodiazepin (nh\u01b0 Midazolam) \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n co gi\u1eadt.<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>B\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf n\u01a1i kh\u00f4 r\u00e1o, nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C v\u00e0 tr\u00e1nh \u00e1nh s\u00e1ng.<\/p>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 thu\u1ed1c Lidocain 40mg\/2ml Vinphaco<\/h2>\n<p>M\u1ed9t s\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1 tr\u00ean th\u1ecb tr\u01b0\u1eddng l\u00e0<a href=\"https:\/\/vnras.com\/drug\/lidocain\/\"> Lidocain Kabi 2%<\/a> c\u1ee7a C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c \u2013 Trang Thi\u1ebft b\u1ecb Y t\u1ebf B\u00ecnh \u0110\u1ecbnh (Bidiphar).<\/p>\n<ul>\n<li>Th\u00e0nh ph\u1ea7n: Lidocain hydroclorid.<\/li>\n<li>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam.<\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh: T\u01b0\u01a1ng t\u1ef1 nh\u01b0 Lidocain c\u1ee7a Vinphaco, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ea5p t\u00ednh c\u00e1c lo\u1ea1n nh\u1ecbp th\u1ea5t.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Marc Beaussier, Alain Delbos. Perioperative Use of Intravenous Lidocaine, truy c\u1eadp ng\u00e0y 12 th\u00e1ng 09 n\u0103m 2025 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30117019\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30117019\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ea3n ph\u1ea9m thu\u1ed1c Lidocain 40mg\/2ml Vinphaco \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m V\u0129nh Ph\u00fac, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110688924 (VD-24901-16, g\u00e2y t\u00ea phong b\u1ebf th\u1ea7n kinh.<\/p>\n","protected":false},"author":1,"featured_media":138453,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-138452","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product\/138452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=138452"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/138453"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=138452"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=138452"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=138452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}