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[不同小手术麻醉技术术后苏醒及出院质量。临床及法医学方面]

[Quality of reawakening and dismissal after anesthesia with various techniques for minor surgical intervention. Clinical and medico-legal aspects].

作者信息

Fiorani V, Messina R, Viazzo R, Scavone L

机构信息

Servizio di Anestesia e Rianimazione, USSL n. 46, Ospedale S. Salvatore, Santhià, Vercelli.

出版信息

Minerva Anestesiol. 1990 Jun;56(6):213-7.

PMID:2280847
Abstract

Different drug combinations were compared in order to assess the quality of anesthesiological control, tolerability and the speed of reawakening and recovery of self-sufficiency in 60 patients undergoing minor surgery. Propofol, combined with fentanyl and N2O due to its inadequate analgesic cover, showed a quickness of action with scarse side-effects, prompt reawakening and rapid recovery of deambulatory self-sufficiency in comparison to the associations of thiopentonefentanyl and thiopentone-isoflurane, thus indicating its preferential use in short surgical operations which can be carried out under a day hospital regimen. In addition, some medico-legal aspects of dimissional of recent developments regarding professional responsibility.

摘要

为评估麻醉控制质量、耐受性、苏醒速度以及60例接受小手术患者恢复自理能力的速度,对不同药物组合进行了比较。丙泊酚与芬太尼及氧化亚氮联合使用,由于其镇痛作用不足,与硫喷妥钠-芬太尼及硫喷妥钠-异氟烷组合相比,显示出起效快、副作用少、苏醒迅速且能快速恢复步行自理能力,因此表明其在可在日间医院治疗方案下进行的短手术中优先使用。此外,还有一些关于职业责任最新发展的离职方面的法医学问题。

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