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使用安氟醚对门诊患者进行自主通气全身麻醉。

Spontaneous-ventilation general anesthesia for outpatients using enflurane.

作者信息

Schow S R, Shelton D W, Watson R L

出版信息

J Oral Surg. 1979 Nov;37(11):840-4.

PMID:290781
Abstract

We have described our technique for general anesthesia for outpatients using a mixture of nitrous oxide, oxygen, and enflurane with spontaneous ventilation through a Bain anesthetic circuit. In our experience, surgical excision of impacted teeth, multiple extractions and alveoloplasty, enucleation of simple cysts, excision of benign tumors, and other similar operations have been done efficiently with these anesthetic techniques. More than 500 such cases have been managed without significant complication. The concepts of selection and preparation of patients, airway security and protection during surgery performed in the upper airway on an unconscious patient who is breathing spontaneously, continuous monitoring of vital functions, and rapid induction and recovery all combine to make this technique consistent with standards for excellence in anesthesia.

摘要

我们已经描述了一种用于门诊患者全身麻醉的技术,该技术使用氧化亚氮、氧气和安氟醚的混合气体,并通过贝恩麻醉回路进行自主通气。根据我们的经验,采用这些麻醉技术能够有效地完成阻生牙的外科切除、多次拔牙及牙槽成形术、单纯囊肿摘除术、良性肿瘤切除术以及其他类似手术。已经处理了500多例此类病例,均未出现严重并发症。患者的选择与准备、在上气道对自主呼吸的无意识患者进行手术期间的气道安全与保护、生命功能的持续监测以及快速诱导和恢复等理念相结合,使得该技术符合优质麻醉的标准。

相似文献

1
Spontaneous-ventilation general anesthesia for outpatients using enflurane.使用安氟醚对门诊患者进行自主通气全身麻醉。
J Oral Surg. 1979 Nov;37(11):840-4.
2
Enflurane anesthesia for oral surgery.用于口腔手术的安氟醚麻醉
J Oral Surg. 1975 Jun;33(6):427-30.
3
Recovery following general anesthesia with isoflurane or enflurane for outpatient dentistry and oral surgery.异氟烷或安氟醚用于门诊牙科和口腔外科手术全身麻醉后的恢复情况。
Anesth Prog. 1988 Mar-Apr;35(2):48-52.
4
[Low concentration enflurane anesthesia and local administration of epinephrine in rat. Comparison between the lidocaine group and the distilled water group].[低浓度安氟醚麻醉与肾上腺素局部给药在大鼠中的应用。利多卡因组与蒸馏水组的比较]
Ou Daigaku Shigakushi. 1990 Jul;17(2):155-67.
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Effects of enflurane (Ethrane) anesthesia on children during short surgical procedures.恩氟烷(安氟醚)麻醉对小儿短小手术的影响。
Acta Anaesthesiol Belg. 1980;31 Suppl:175-81.
6
Cardiorespiratory effects of a balanced anesthetic technique in outpatient general anesthesia.平衡麻醉技术在门诊全身麻醉中的心肺效应
J Oral Surg. 1976 May;34(5):399-406.
7
The Thai Anesthesia Incidents Study (THAI study) of ambulatory anesthesia: II. Anesthetic profiles and adverse events.泰国门诊麻醉事件研究(THAI研究):II. 麻醉概况与不良事件
J Med Assoc Thai. 2008 Feb;91(2):188-95.
8
Anesthetic considerations in the surgical excision of impacted teeth.
Dent Clin North Am. 1979 Jul;23(3):461-9.
9
A composite general anesthesia technique using ketamine for pediatric outpatients.
J Oral Surg. 1978 Aug;36(8):594-8.
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Enflurane anesthesia in the pony: a comparative study between enflurane and halothane.小马的安氟醚麻醉:安氟醚与氟烷的比较研究
Cornell Vet. 1980 Jan;70(1):50-66.

引用本文的文献

1
Transcutaneous oxygen monitoring of patients undergoing surgical removal of wisdom teeth utilizing general anesthesia.对接受全身麻醉下智齿拔除手术患者的经皮氧监测。
Anesth Prog. 1982 Sep-Oct;29(5):132-4.
2
Monitoring out-patient anesthesia in dentistry.监测牙科门诊麻醉。
Anesth Prog. 1980 Jan-Feb;27(1):6-9.
3
A comparison of intravenous and laryngotracheal lidocaine before endotracheal intubation.气管插管前静脉注射利多卡因与喉气管内注射利多卡因的比较。
Anesth Prog. 1983 Mar-Apr;30(2):34-6.
4
Comparison of the physiological effects of enflurane and isoflurane for outpatient general anesthesia.恩氟烷和异氟烷用于门诊全身麻醉的生理效应比较。
Anesth Prog. 1988 Jan-Feb;35(1):5-8.
5
Comparison of recovery times of isoflurane and enflurane as a sole anesthetic agent for outpatient oral surgery.异氟烷和安氟醚作为门诊口腔手术单一麻醉剂的恢复时间比较。
Anesth Prog. 1989 Jan-Feb;36(1):13-4.