Roberts D R, Pethybridge R J
Royal Naval Hospital Haslar, Gosport, Hampshire.
Ann R Coll Surg Engl. 1991 Jul;73(4):258-63.
Recovery from anaesthesia using the Triservice anaesthetic apparatus with either isoflurane alone or halothane and trichlorethylene, was assessed by measurement of reaction time. There was no statistically significant improvement in recovery between patients who received low concentrations of isoflurane and those who received halothane and trichlorethylene. The mean profiles of systolic pressure and heart rate were significantly greater in the isoflurane group (P less than 0.05) than in the halothane/trichlorethylene group. Cardiovascular stability was maintained into the recovery period. The benefits of low concentrations of isoflurane as sole agent in the Triservice anaesthetic apparatus and their extrapolation to a shocked casualty in a military setting are discussed.
使用三军麻醉设备,单独使用异氟烷或使用氟烷和三氯乙烯进行麻醉后,通过测量反应时间来评估恢复情况。接受低浓度异氟烷的患者与接受氟烷和三氯乙烯的患者在恢复方面没有统计学上的显著改善。异氟烷组的收缩压和心率平均曲线显著高于氟烷/三氯乙烯组(P小于0.05)。心血管稳定性在恢复期得以维持。文中讨论了在三军麻醉设备中使用低浓度异氟烷作为单一麻醉剂的益处,以及将其应用于军事环境中休克伤员的推断。