Heifetz M, De Myttenaere S, Lemer J
Chest. 1977 Oct;72(4):480-2. doi: 10.1378/chest.72.4.480.
We describe a new technique for diagnostic fiberoptic bronchoscopic procedures under general anesthesia. The technique of inflation via nasotracheal catheter, which consists of using intermittent high inflating pressure for ventilation by passing a double catheter through the nose to the glottis and into the trachea, gave very satisfactory ventilaton, with high levels of oxygen in the blood. Intratracheal pressure was monitored continuously to guarantee safety, and pulmonary function was assessed before and after the procedure. Continuous electrocardiographic monitoring was used, and blood gas levels were determined at very frequent intervals. The use of infusions of methohexitone and succinylcholine (suxamethonium) provided adequate safe anesthesia and prompt recovery, with absence of recall of the procedure.
我们描述了一种在全身麻醉下进行诊断性纤维支气管镜检查的新技术。经鼻气管导管充气技术，即通过将双导管经鼻插入声门并进入气管，使用间歇性高充气压力进行通气，可实现非常满意的通气效果，血液中氧含量较高。持续监测气管内压力以确保安全，并在操作前后评估肺功能。使用连续心电图监测，并频繁测定血气水平。输注甲己炔巴比妥和琥珀酰胆碱可提供足够的安全麻醉并促使迅速恢复，患者对操作无记忆。
