Arena L, Di Sebastiano N, Russo L, Di Filippo A
Servizio di Anestesia e Rianimazione, Ospedale Civico di Lugano Svizzera.
Minerva Anestesiol. 1992 Jun;58(6):369-73.
We have evaluated the effectiveness of a technique of blended anaesthesia (epidural-general) in 31 patients undergoing major surgery. Thoracic epidural blockade with lidocaina CO2, adrenalin 1/200000, ensures analgesia while induction and hypnosis maintenance were obtained with midazolam, alfentanil, atracurium and N2O/O2. This technique seems able to protect the patients from endotracheal intubation and surgical stress and also to enable a rapid, quiet awakening. The dose of midazolam necessary to maintain hypnosis was inversely proportional to the patient's age. The reversal of hypnosis was necessary in 4 patients only.
我们评估了联合麻醉技术（硬膜外-全身麻醉）在31例接受大手术患者中的有效性。采用利多卡因CO2、肾上腺素1/200000进行胸段硬膜外阻滞，确保镇痛效果，同时使用咪达唑仑、阿芬太尼、阿曲库铵和N2O/O2进行诱导和维持催眠。该技术似乎能够保护患者免受气管插管和手术应激的影响，还能实现快速、安静的苏醒。维持催眠所需的咪达唑仑剂量与患者年龄成反比。仅4例患者需要进行催眠逆转。
