McTaggart R A
Can J Surg. 1987 Jul;30(4):239-42.
Contributions of the anesthetist to the management of patients requiring abdominal aortic surgery must complement the roles of the cardiologist and vascular surgeon. Identification of risk factors and assessment of the degree of functional impairment of vital organs allows the anesthetist the best opportunity to provide the vascular patient with as stress-free a surgical experience as possible. Patient profiles, monitoring, induction and maintenance phases in the administration of the anesthetic, and concerns of the early postoperative period are discussed from the anesthetist's perspective. General principles are emphasized. Specific details of assessment and management must be guided by local experience and resources.
麻醉医生在需要进行腹主动脉手术患者的管理中所起的作用必须与心脏病专家和血管外科医生的作用相辅相成。识别风险因素并评估重要器官的功能损害程度,能让麻醉医生有最佳机会为血管疾病患者提供尽可能无压力的手术体验。本文从麻醉医生的角度讨论了患者情况简介、监测、麻醉给药的诱导和维持阶段以及术后早期的关注点。文中强调了一般原则。评估和管理的具体细节必须以当地经验和资源为指导。