Tonner P H
Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 2 , Kiel D-24 105, Germany.
Best Pract Res Clin Anaesthesiol. 2005 Sep;19(3):475-84. doi: 10.1016/j.bpa.2005.02.005.
An 'ideal' anaesthetic can be approached by using a combination of different compounds. A variety of anaesthetic techniques has been described to ensure safe administration and an early recovery with high patient satisfaction. In particular, the inhalational anaesthetics desflurane and sevoflurane, with their rapid pharmacokinetics, re-established the notion of balanced anaesthesia as an equivalent, well-controllable technique. With the choice of anaesthetics and anaesthetic adjuvants clinically available today, especially the combination of a volatile anaesthetic with a short-acting opioid, balanced anaesthesia represents a big step towards an ideal anaesthetic.
通过使用不同化合物的组合可以接近“理想”的麻醉状态。已经描述了多种麻醉技术，以确保安全给药并实现早期恢复，同时患者满意度高。特别是，吸入性麻醉剂地氟烷和七氟烷，凭借其快速的药代动力学，重新确立了平衡麻醉作为一种等效、易于控制的技术的概念。随着当今临床上可用的麻醉剂和麻醉辅助剂的选择，尤其是挥发性麻醉剂与短效阿片类药物的组合，平衡麻醉朝着理想麻醉迈出了一大步。
