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用于清醒镇静的异氟烷。

Isoflurane for conscious sedation.

作者信息

Rodrigo M R, Rosenquist J B

机构信息

Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, University of Hong Kong, Prince Philip Dental Hospital.

出版信息

Anaesthesia. 1988 May;43(5):369-75. doi: 10.1111/j.1365-2044.1988.tb09015.x.

DOI:10.1111/j.1365-2044.1988.tb09015.x
PMID:3400846
Abstract

Isoflurane 0.5% in oxygen for conscious sedation was compared with placebo (oxygen) and with an equipotent concentration of nitrous oxide in oxygen, in patients scheduled for surgical removal of bilateral, similarly impacted lower third molars. The majority of patients were sedated with 0.5% isoflurane in oxygen and preferred it to both placebo and nitrous oxide in oxygen. It produced good operating conditions with cooperative patients and had no significant effect on vital signs. There were no significant intra- or postoperative adverse effects. Patients were street fit within 10 minutes after the end of the operation.

摘要

在计划手术拔除双侧、情况相似的低位阻生下颌第三磨牙的患者中,将0.5%异氟烷与氧气混合用于清醒镇静,与安慰剂(氧气)以及与氧气混合的等效浓度一氧化二氮进行比较。大多数患者使用0.5%异氟烷与氧气混合进行镇静,相较于安慰剂和与氧气混合的一氧化二氮,他们更喜欢这种方式。它为配合良好的患者创造了良好的手术条件,且对生命体征无显著影响。术中及术后均无显著不良反应。患者在手术结束后10分钟内即可恢复正常活动。

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引用本文的文献

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Success rate of nitrous oxide-oxygen procedural sedation in dental patients: systematic review and meta-analysis.牙科患者中一氧化二氮-氧气程序镇静的成功率:系统评价和荟萃分析。
J Dent Anesth Pain Med. 2021 Dec;21(6):527-545. doi: 10.17245/jdapm.2021.21.6.527. Epub 2021 Nov 26.
2
Differential effects of isoflurane and propofol on upper airway dilator muscle activity and breathing.异氟烷和丙泊酚对上呼吸道扩张肌活动及呼吸的不同影响。
Anesthesiology. 2008 May;108(5):897-906. doi: 10.1097/ALN.0b013e31816c8a60.
3
Summary of the scientific literature for pain and anxiety control in dentistry.
牙科疼痛与焦虑控制的科学文献综述。
Anesth Prog. 1989 May-Jun;36(3):117-25.
4
The subjective, behavioral and cognitive effects of subanesthetic concentrations of isoflurane and nitrous oxide in healthy volunteers.
Psychopharmacology (Berl). 1994 Apr;114(3):409-16. doi: 10.1007/BF02249330.