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日间关节镜手术采用局部麻醉还是全身麻醉?

Local or general anaesthetic in day case arthroscopy?

作者信息

Fairclough J A, Graham G P, Pemberton D

机构信息

Department of Traumatic and Orthopaedic Surgery, Cardiff Royal Infirmary.

出版信息

Ann R Coll Surg Engl. 1990 Mar;72(2):104-7.

PMID:2334091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499128/
Abstract

A series of 66 patients who have undergone arthroscopy of the knee using three local anesthetic techniques is presented. Over a similar period of time 70 patients had knee arthroscopy performed under general anaesthesia. In the local anaesthetic group the technique was successful in 50 cases, partially successful in 12 cases and totally unsatisfactory in 4 cases. In the general anaesthetic group all the procedures were successful. Local anaesthetic techniques were found to be satisfactory for diagnostic arthroscopy but general anaesthesia was better for operative procedures and was more acceptable to the surgeon and patient.

摘要

本文呈现了一组66例使用三种局部麻醉技术进行膝关节镜检查的患者。在相似的时间段内,70例患者在全身麻醉下进行了膝关节镜检查。在局部麻醉组中,该技术在50例中成功,12例部分成功,4例完全不满意。在全身麻醉组中,所有手术均成功。发现局部麻醉技术对于诊断性关节镜检查是令人满意的,但全身麻醉对于手术操作更好,并且更易为外科医生和患者所接受。

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Local or general anaesthetic in day case arthroscopy?日间关节镜手术采用局部麻醉还是全身麻醉?
Ann R Coll Surg Engl. 1990 Mar;72(2):104-7.
2
A prospective trial of local versus general anaesthesia for arthroscopic surgery of the knee.膝关节关节镜手术局部麻醉与全身麻醉的前瞻性试验。
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Unilateral spinal anesthesia or combined sciatic-femoral nerve block for day-case knee arthroscopy. A prospective, randomized comparison.日间膝关节镜手术的单侧脊髓麻醉或坐骨-股神经联合阻滞:一项前瞻性随机对照研究。
Minerva Anestesiol. 2000 Mar;66(3):131-6; discussion 137.
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Outpatient arthroscopic knee surgery under combined local and intravenous propofol anesthesia in children and adolescents.儿童和青少年在局部麻醉联合静脉注射丙泊酚麻醉下进行的门诊关节镜膝关节手术。
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[Knee arthroscopy under local anesthesia with or without anesthesiologic assistance. A cost-benefit analysis].[局部麻醉下有无麻醉辅助的膝关节镜检查。成本效益分析]
Ugeskr Laeger. 1994 Jan 17;156(3):313-6.
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Total intravenous anesthesia, spinal anesthesia or combined sciatic-femoral nerve block for outpatient knee arthroscopy.门诊膝关节镜检查采用全静脉麻醉、脊髓麻醉或坐骨-股神经联合阻滞。
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Prilocaine or mepivacaine for combined sciatic-femoral nerve block in patients receiving elective knee arthroscopy.在接受择期膝关节镜检查的患者中使用丙胺卡因或甲哌卡因进行坐骨-股神经联合阻滞。
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A prospective trial of local versus general anaesthesia for arthroscopic surgery of the knee.膝关节关节镜手术局部麻醉与全身麻醉的前瞻性试验。
Ann R Coll Surg Engl. 1997 Sep;79(5):345-8.
4
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Outpatient anesthesia. Which is the best anaesthetic technique?门诊麻醉。哪种麻醉技术最佳?
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本文引用的文献

1
Arthroscopy under local anaesthesia using controlled pressure-irrigation with prilocaine.使用丙胺卡因进行控制压力冲洗的局部麻醉下关节镜检查。
J Bone Joint Surg Br. 1982;64(5):583-5. doi: 10.1302/0301-620X.64B5.6897247.
2
Knee arthroscopy with local anesthesia in ambulatory patients. Methods, results and patient compliance.门诊患者膝关节镜检查采用局部麻醉。方法、结果及患者依从性。
Orthopedics. 1986 Feb;9(2):186-8. doi: 10.3928/0147-7447-19860201-09.
3
A regional anesthetic technique compared to general anesthesia for outpatient knee arthroscopy.一种用于门诊膝关节镜检查的区域麻醉技术与全身麻醉的比较。
Anesth Analg. 1986 Feb;65(2):185-7.
4
Arthroscopic surgery performed under local anesthesia as an outpatient procedure.在局部麻醉下作为门诊手术进行关节镜手术。
Arch Orthop Trauma Surg (1978). 1986;105(5):296-7. doi: 10.1007/BF00449929.
5
Knee arthroscopy and arthrotomy under local anesthesia.局部麻醉下膝关节镜检查及关节切开术。
Acta Orthop Scand. 1987 Apr;58(2):133-4. doi: 10.3109/17453678709146458.
6
Recovery from propofol infusion as the main agent for outpatient arthroscopy. A comparison with isoflurane.以丙泊酚输注作为门诊关节镜检查主要麻醉剂的恢复情况。与异氟烷的比较。
Anaesthesia. 1987 Apr;42(4):356-9. doi: 10.1111/j.1365-2044.1987.tb03974.x.
7
The unheralded value of arthroscopy using local anesthesia for diagnostic specificity and intraoperative corroboration of therapeutic achievement.
Clin Sports Med. 1987 Jul;6(3):471-90.
8
Propofol for arthroscopy in outpatients. Comparison of three anaesthetic techniques.门诊患者关节镜检查用丙泊酚。三种麻醉技术的比较。
Br J Anaesth. 1988 Apr;60(5):565-9. doi: 10.1093/bja/60.5.565.