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最低肺泡有效浓度低限警报:一种由吸入麻醉药维持的全身麻醉期间预防术中知晓的标准。

Low minimum alveolar concentration alarm: a standard for prevention of awareness during general anaesthesia maintained by inhalational anaesthetics.

作者信息

Umesh Goneppanavar, Jasvinder Kaur, Shetty Nanda

机构信息

Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India.

出版信息

J Clin Monit Comput. 2009 Jun;23(3):185-6. doi: 10.1007/s10877-009-9169-9. Epub 2009 Mar 1.

DOI:10.1007/s10877-009-9169-9
PMID:19253024
Abstract

Awareness during general anaesthesia is a rare but significant problem that can be frightening to the patients. We suggest that newer generation monitors should include this facility to provide a low alarm limit to MAC settings so as to improve the quality of patient care. Also we suggest that a "near empty" alarm be incorporated into vaporizers which can warn the anaesthesiologist prior to development of possible light plane of anaesthesia. We hope that adopting these two features can help enhance patient safety and can further aid in quality assurance.

摘要

全身麻醉期间的知晓是一个罕见但重要的问题,可能会让患者感到恐惧。我们建议新一代监测仪应具备此功能,为最低肺泡有效浓度(MAC)设置提供低报警限值,以提高患者护理质量。此外,我们建议在蒸发器中加入“接近空瓶”报警装置,以便在可能出现浅麻醉平面之前向麻醉医生发出警告。我们希望采用这两个功能有助于提高患者安全性,并进一步有助于质量保证。

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引用本文的文献

1
A novel electronic algorithm for detecting potentially insufficient anesthesia: implications for the prevention of intraoperative awareness.一种用于检测潜在麻醉不足的新型电子算法:对预防术中知晓的意义。
J Clin Monit Comput. 2009 Oct;23(5):273-7. doi: 10.1007/s10877-009-9193-9. Epub 2009 Aug 8.

本文引用的文献

1
Awareness during anesthesia: risk factors, causes and sequelae: a review of reported cases in the literature.麻醉期间知晓:危险因素、原因及后遗症:文献报道病例综述
Anesth Analg. 2009 Feb;108(2):527-35. doi: 10.1213/ane.0b013e318193c634.
2
Anesthesia awareness and the bispectral index.麻醉觉醒与脑电双频指数
N Engl J Med. 2008 Mar 13;358(11):1097-108. doi: 10.1056/NEJMoa0707361.