Department of Anaesthesia, Royal Infirmary of Edinburgh, Edinburgh, UK; Society for Intravenous Anaesthesia (Co-Chair of the Working party).
Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands: Society for Intravenous Anaesthesia.
Anaesthesia. 2019 Feb;74(2):211-224. doi: 10.1111/anae.14428. Epub 2018 Oct 31.
Guidelines are presented for safe practice in the use of intravenous drug infusions for general anaesthesia. When maintenance of general anaesthesia is by intravenous infusion, this is referred to as total intravenous anaesthesia. Although total intravenous anaesthesia has advantages for some patients, the commonest technique used for maintenance of anaesthesia in the UK and Ireland remains the administration of an inhaled volatile anaesthetic. However, the use of an inhalational technique is sometimes not possible, and in some situations, inhalational anaesthesia is contraindicated. Therefore, all anaesthetists should be able to deliver total intravenous anaesthesia competently and safely. For the purposes of simplicity, these guidelines will use the term total intravenous anaesthesia but also encompass techniques involving a combination of intravenous infusion and inhalational anaesthesia. This document is intended as a guideline for safe practice when total intravenous anaesthesia is being used, and not as a review of the pros and cons of total intravenous anaesthesia vs. inhalational anaesthesia in situations where both techniques are possible.
静脉药物输注用于全身麻醉的安全操作指南。当全身麻醉通过静脉输注维持时，这被称为全静脉麻醉。尽管全静脉麻醉对某些患者有优势，但在英国和爱尔兰，维持麻醉最常用的技术仍然是给予吸入挥发性麻醉剂。然而，吸入技术有时是不可能的，在某些情况下，吸入麻醉是禁忌的。因此，所有麻醉师都应该能够熟练和安全地提供全静脉麻醉。为了简单起见，本指南将使用全静脉麻醉这一术语，但也包括涉及静脉输注和吸入麻醉联合的技术。本文件旨在作为使用全静脉麻醉时安全操作的指南，而不是在两种技术都可行的情况下对全静脉麻醉与吸入麻醉的优缺点进行审查。
