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[支气管镜检查的麻醉]

[Anesthesia for bronchoscopy].

作者信息

Fernandez A, Tedde M L, Filomeno L T, Suso F V

机构信息

Serviço de Endoscopia Respiratória, Instituto do Coração de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1992 May-Jun;47(3):125-7.

PMID:1340585
Abstract

Fiberoptic bronchoscopy is a valuable diagnostic and therapeutic procedure in many clinical situations and is relatively simple to perform with the proper techniques. Local anesthetic techniques are often preferable for bronchoscopy since the examination is mostly undertaken as outpatient procedure. When the topical anesthesia is supplemented with light sedation, the procedure is easier and more acceptable to the patient. We describe a very efficient technique based on the transtracheal injection of a minimal amount of lidocaine directly on the upper airway mucosa, producing adequate anaesthesia. The method is easy to perform and safe.

摘要

纤维支气管镜检查在许多临床情况下是一种有价值的诊断和治疗方法,采用适当的技术进行操作相对简单。由于支气管镜检查大多作为门诊手术进行,局部麻醉技术通常更适用于此检查。当局部麻醉辅以轻度镇静时,该操作对患者来说更容易且更能接受。我们描述了一种非常有效的技术,即经气管直接向上气道黏膜注射少量利多卡因,可产生充分的麻醉效果。该方法操作简便且安全。

相似文献

1
[Anesthesia for bronchoscopy].[支气管镜检查的麻醉]
Rev Hosp Clin Fac Med Sao Paulo. 1992 May-Jun;47(3):125-7.
2
Local anesthetic techniques for bronchoscopies.支气管镜检查的局部麻醉技术。
Acta Anaesthesiol Belg. 1984;35 Suppl:389-97.
3
[Serum levels of lidocaine as affected by high frequency jet ventilation during bronchoscopies under local anesthesia].[局部麻醉下支气管镜检查期间高频喷射通气对利多卡因血清水平的影响]
Anaesthesist. 1988 Jul;37(7):420-4.
4
Topical nasal anaesthesia for fibreoptic bronchoscopy: lignocaine spray or gel?纤维支气管镜检查的局部鼻内麻醉:利多卡因喷雾还是凝胶?
Singapore Med J. 1993 Apr;34(2):148-9.
5
Plasma concentrations of lidocaine during inhalation anaesthesia for fiberoptic bronchoscopy.纤维支气管镜检查吸入麻醉期间利多卡因的血浆浓度。
Scand J Respir Dis. 1979 Jun;60(3):105-8.
6
Cardiovascular responses and lidocaine absorption in fiberoptic-assisted awake intubation.纤维支气管镜引导清醒插管时的心血管反应及利多卡因吸收情况
Anesth Analg. 1986 Apr;65(4):389-91.
7
[Decrease in paO2 following intratracheal application of a local anesthetic and a 0.9% sodium chloride solution. A prospective study on the use of fiberoptic bronchoscopy in ventilated patients during local anesthesia].气管内应用局部麻醉剂和0.9%氯化钠溶液后动脉血氧分压降低。一项关于在局部麻醉期间对通气患者使用纤维支气管镜的前瞻性研究
Anaesthesist. 1989 Apr;38(4):174-9.
8
Effectiveness of mouthpiece nebulization and nasal swab stick packing for topical anesthesia in awake fiberoptic nasotracheal intubation.口含器雾化和鼻拭子填塞用于清醒纤维支气管镜引导鼻气管插管局部麻醉的效果
J Med Assoc Thai. 2007 Oct;90(10):2063-71.
9
Safety and efficacy of using high-dose topical and nebulized anesthesia to obtain endobronchial cultures.
Chest. 1989 Feb;95(2):299-303. doi: 10.1378/chest.95.2.299.
10
Comparison of three different methods used to achieve local anesthesia for fiberoptic bronchoscopy.
Chest. 1992 Sep;102(3):704-7. doi: 10.1378/chest.102.3.704.

引用本文的文献

1
Transtracheal lidocaine injection reduces the anesthetic requirements in brachial plexus surgeries.经气管利多卡因注射可降低臂丛神经手术中的麻醉需求。
Anesth Essays Res. 2013 Jan-Apr;7(1):110-5. doi: 10.4103/0259-1162.114015.
2
Transtracheal lidocaine: An alternative to intraoperative propofol infusion when muscle relaxants are not used.经气管利多卡因:在不使用肌肉松弛剂时作为术中丙泊酚输注的替代方法。
J Anaesthesiol Clin Pharmacol. 2014 Apr;30(2):199-202. doi: 10.4103/0970-9185.130016.