Firn S
J R Soc Med. 1982;75(Suppl 1):36-9.
An air-enflurane mixture was used for inhalation analgesia in conscious patients undergoing painful procedures such as burns dressings. A preliminary study indicated that enflurane possessed definite analgesic properties, but that the concentration of the air-enflurane mixture was critical if restlessness was to be avoided and cooperation retained. Further studies established that 1% enflurane in air provided good analgesia in the absence of anaesthesia. The analgesic effects were similar to those produced by 0.35% methoxyflurane in air, but were produced in a much shorter time (about 3 minutes compared with 9 to 10 minutes). Preoperative starvation was unnecessary and nausea and vomiting were absent. Details are given of the use of enflurane analgesia in 32 conscious burned patients who underwent 101 burns dressing procedures.
在进行诸如烧伤换药等疼痛操作的清醒患者中,使用空气 - 安氟醚混合气体进行吸入镇痛。一项初步研究表明,安氟醚具有明确的镇痛特性,但要避免躁动并保持患者合作,空气 - 安氟醚混合气体的浓度至关重要。进一步的研究证实,空气中1%的安氟醚在无麻醉的情况下可提供良好的镇痛效果。其镇痛效果与空气中0.35%的甲氧氟烷相似,但起效时间要短得多(约3分钟,而甲氧氟烷为9至10分钟)。无需术前禁食,也未出现恶心和呕吐。文中详细介绍了32例清醒烧伤患者使用安氟醚镇痛进行101次烧伤换药操作的情况。