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[靶控输注(TCI)——一个具有未来前景的概念?:最新技术水平、治疗建议及未来展望]

[Target-controlled infusion (TCI) - a concept with a future?: state-of-the-art, treatment recommendations and a look into the future].

作者信息

Schraag S, Kreuer S, Bruhn J, Frenkel C, Albrecht S

机构信息

Department of Perioperative Medicine, Golden Jubilee National Hospital, Beardmore Street, Clydebank, Glasgow, Scotland, UK.

出版信息

Anaesthesist. 2008 Mar;57(3):223-30. doi: 10.1007/s00101-008-1329-7.

Abstract

Over the last 10 years the technique of target-controlled infusion (TCI) has substantially influenced the development and practice of intravenous anaesthesia. It opened the possibility of many new and exciting applications of perioperative anaesthetic care. More recent and current developments, such as open TCI (target-controlled infusion) and the availability of generic anaesthetic agents combined with modern infusion pumps, means that TCI can become a standard procedure in anaesthesia and is no longer just a research tool for specialists and enthusiasts. This review explains the fundamentals and applications of intravenous drug delivery by TCI and gives practice guidelines to successfully implement the technique into clinical practice. The aim is to provide a comprehensive reference based on clinically proven evidence.

摘要

在过去十年中,靶控输注(TCI)技术对静脉麻醉的发展与实践产生了重大影响。它为围手术期麻醉护理带来了许多新颖且令人兴奋的新应用可能性。最近以及当前的发展,如开放式TCI(靶控输注)以及通用麻醉剂与现代输液泵的可得性,意味着TCI能够成为麻醉中的标准操作程序,而不再仅仅是专家和爱好者的研究工具。本综述解释了通过TCI进行静脉药物输注的基本原理和应用,并给出了将该技术成功应用于临床实践的操作指南。目的是基于临床验证的证据提供一份全面的参考资料。

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