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[支撑喉镜检查的麻醉技术选择]

[Choice of anesthesia technic for suspension larygoscopy].

作者信息

Gertner J, Betheuil M J, Fontanel J P

出版信息

Ann Anesthesiol Fr. 1976;17(8):913-8.

PMID:12694
Abstract

Anesthesia, during suspension laryngoscopy should permit the ENT surgeon to work in a field without the hindrance of an intra-tracheal tube, and with a calm larynx. After rapid review of anesthesias of brief duration, which are eliminated, several techniques of anesthesia of variable duration are discussed. Neuroleptanalgesia is nevertheless exclused owing to the environmental conditions necessary for its use. Gamma OH was reserved for patients in poor general health, and gave satisfaction. Alfatisine was used here and procured anesthesia of good quality, with minimal respiratory depression, provided a precise protocol is respected, but one cannot hope for success of suspension laryngoscopy without local anesthesia in addition.

摘要

在支撑喉镜检查期间,麻醉应使耳鼻喉科医生能够在没有气管内插管阻碍且喉部平静的区域进行操作。在快速回顾并排除了持续时间短的麻醉方法后,讨论了几种持续时间不同的麻醉技术。然而,由于使用所需的环境条件,神经安定镇痛麻醉被排除在外。γ-羟基丁酸钠仅用于一般健康状况较差的患者,效果令人满意。这里使用了阿法西丁,只要遵守精确的方案,就能获得质量良好且呼吸抑制最小的麻醉效果,但仅靠它无法保证支撑喉镜检查成功,还需要局部麻醉。

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