Friedberg B L
Anesthesia for Cosmetic Surgery, Corona del Mar, California, USA.
Dermatol Surg. 1999 Jul;25(7):569-72. doi: 10.1046/j.1524-4725.1999.99077.x.
Multiple anesthetic approaches exist for full-face laser resurfacing. The propofol-ketamine technique is reviewed as a reasonable alternative to providing adequate anesthesia for full-face laser resurfacing in the office environment.
To report outcomes using propofol-ketamine opioid avoidance, room air, spontaneous ventilation monitored anesthesia care (MAC).
A retrospective chart review of 95 consenting adult patients receiving propofol-ketamine anesthesia in a private practice, office-based setting.
An average of 6 (200 mg) ampules of propofol, including waste, were used per patient. All patients received adequate anesthesia as evidence by a lack of movement during surgery. There were no hallucinations, no postoperative nausea or vomiting (PONV), no cardiovascular instability or seizures (clinical signs of lidocaine toxicity), and no hospital admissions for either PONV or pain.
The propofol-ketamine technique appears to be an excellent alternative anesthetic approach to EMLA cream, tranquilizer-opioid regimens, or general inhalational anesthesia for facial laser resurfacing.
全脸激光换肤有多种麻醉方法。丙泊酚 - 氯胺酮技术作为在门诊环境中为全脸激光换肤提供充分麻醉的合理替代方法进行综述。
报告使用丙泊酚 - 氯胺酮避免使用阿片类药物、室内空气、自主通气的监测麻醉护理（MAC）的结果。
对在私人诊所门诊环境中接受丙泊酚 - 氯胺酮麻醉的95名成年同意患者进行回顾性病历审查。
每位患者平均使用6支（200毫克）丙泊酚安瓿，包括浪费量。所有患者均获得充分麻醉，手术期间无活动迹象为证。无幻觉、无术后恶心或呕吐（PONV）、无心血管不稳定或癫痫发作（利多卡因毒性的临床体征），且无因PONV或疼痛而住院。
丙泊酚 - 氯胺酮技术似乎是用于面部激光换肤的EMLA乳膏、镇静剂 - 阿片类药物方案或全身吸入麻醉的极佳替代麻醉方法。
