Doom A, Mundeleer P
Acta Anaesthesiol Belg. 1976;27 suppl:181-6.
Tonsillectomy under general anesthesia, one of the most commonplace operations there are, is more of a problem for the anesthetist than for the surgeon. Once intubated, the child or adult will be protected from any operative risks by correct ventilation and the protection of his upper airways. The only problem is that arising from the anesthesia required to carry out this intubation and from the consequences of this anesthesia on the waking period, which should be brief in order to avoid, after detubation, any reactions which might induce excessively deep sleep at that moment. In this respect we found etomidate, with its short duration of action, even after reinjection, just as interesting as methohexital. We should mention, however, that his product presents certain disadvantages the most troublesome of which seemed to be the pain provoked when this substance is injected. A new solution (of basic etomidate) still hardly presented this disadvantage.
全身麻醉下的扁桃体切除术是最常见的手术之一，对麻醉师来说比对外科医生更是一个难题。一旦插管，儿童或成人将通过正确的通气和对上呼吸道的保护免受任何手术风险。唯一的问题是进行这种插管所需的麻醉以及这种麻醉对苏醒期的影响，苏醒期应短暂，以避免拔管后出现任何可能导致当时过度嗜睡的反应。在这方面，我们发现依托咪酯作用时间短，即使再次注射也是如此，与甲己炔巴比妥一样有趣。然而，我们应该提到，这种产品有某些缺点，其中最麻烦的似乎是注射这种物质时引起的疼痛。一种新的（碱性依托咪酯）溶液几乎没有这个缺点。
