气管内麻醉
Endotracheal Anæsthesia.
作者信息
Magill I W
出版信息
Proc R Soc Med. 1928 Dec;22(2):83-8. doi: 10.1177/003591572802200201.
(1) With certain exceptions, endotracheal anaesthesia is the best method for operations on the head and neck and for any other operation in which there may be a difficulty in controlling the patient's air-way. (2) Expiration should be provided for, in endotracheal anaesthesia, either by means of a second tube or by a tube of calibre sufficient to permit to-and-fro respiration. (3) Cocainization of the upper air-passages has decided advantages in endotracheal anaesthesia. (4) "Blind" intubation through the nose renders the method possible in cases where it is impossible to use a speculum. (5) The insufflation method is not specially indicated in abdominal surgery. (6) The routine use of endotracheal anaesthesia in teaching-hospitals for every class of case is detrimental to the production of sound anaesthetic knowledge in students who are likely to become general practitioners.
（1）除某些特殊情况外，气管内麻醉是头颈部手术以及任何可能难以控制患者气道的其他手术的最佳方法。（2）在气管内麻醉中，应通过第二根导管或通过口径足以允许来回呼吸的导管来实现呼气。（3）上呼吸道可卡因化在气管内麻醉中有明显优势。（4）在无法使用窥器的情况下，经鼻“盲目”插管使该方法成为可能。（5）吹入法在腹部手术中并无特殊指征。（6）教学医院对各类病例常规使用气管内麻醉不利于培养有可能成为全科医生的学生的扎实麻醉知识。
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