Milam S B
Dent Clin North Am. 1987 Jan;31(1):97-115.
Intraoperative anesthetic complications can be prevented or minimized if the anesthetist is able to anticipate such problems in the preanesthetic period. Therefore, an adequate preanesthetic medical history that includes previous anesthetic experiences and past and current drug therapy is extremely important. Furthermore, the anesthetist must be properly trained to anticipate undesirable reactions to anesthetic agents. The signs of an impending disaster are subtle and nonspecific in the anesthetized patient. Therefore, continuous vigilance of the patient's physiologic status coupled with a high index of suspicion are essential to safe anesthetic management of dental patients.
如果麻醉师能够在麻醉前阶段预见到此类问题,术中麻醉并发症是可以预防或降至最低程度的。因此,一份详尽的麻醉前病史,包括既往麻醉经历以及过去和当前的药物治疗情况,极为重要。此外,麻醉师必须接受适当培训,以预见到对麻醉药物的不良反应。在麻醉患者中,即将发生灾难的迹象细微且不具特异性。因此,持续监测患者的生理状态并保持高度的怀疑意识,对于牙科患者的安全麻醉管理至关重要。