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使用氟烷、氧化亚氮和氧气的肺活量呼吸进行单呼吸麻醉诱导。

Single breath induction of anaesthesia, using a vital capacity breath of halothane, nitrous oxide and oxygen.

作者信息

Wilton N C, Thomas V L

出版信息

Anaesthesia. 1986 May;41(5):472-6. doi: 10.1111/j.1365-2044.1986.tb13269.x.

Abstract

Inhalational induction of anaesthesia, using a single vital capacity breath of 4% halothane in 66% nitrous oxide and 33% oxygen was evaluated in 100 unpremedicated outpatients. The technique was found to be acceptable to most (91%) of the patients studied, with a mean (SD) induction time (measured from beginning of inspiration to loss of 'eyelash reflex') of 83(21) seconds. Relative cardiovascular stability was a notable finding of the technique, with a slight decrease in the mean arterial pressure of only 10%. Anaesthetic induction time was unaffected by age, weight or smoking habits. The technique of single breath induction is therefore proposed as a safe and acceptable alternative to intravenous induction in co-operative adult patients.

摘要

对100例未用术前药的门诊患者,采用吸入4%氟烷、66%氧化亚氮和33%氧气的单次肺活量呼吸进行麻醉诱导。结果发现,该技术为大多数(91%)研究患者所接受,平均(标准差)诱导时间(从吸气开始至“睫毛反射”消失)为83(21)秒。该技术的一个显著特点是相对心血管稳定性,平均动脉压仅轻微下降10%。麻醉诱导时间不受年龄、体重或吸烟习惯影响。因此,建议在合作的成年患者中,单次呼吸诱导技术可作为静脉诱导的一种安全且可接受的替代方法。

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