Brown B R
Contemp Anesth Pract. 1987;9:159-66.
Rules for admission of the ENT surgical patient into the ambulatory surgery scene are being relaxed as time and experience accrues. The anesthesiologist will probably be far freer in the use of the sympathetic amine epinephrine and cocaine. Thus, careful examination of all facets of the patient's history, clinical examination, drug intake, and laboratory studies must be synthesized in the determination of whether the cardiovascular system can tolerate the stimulation. Appropriate counter measures must be at hand just as for the inpatient situation.
随着时间的推移和经验的积累,耳鼻喉科手术患者进入门诊手术领域的规则正在放宽。麻醉医生在使用交感胺肾上腺素和可卡因方面可能会更加自由。因此,在确定心血管系统是否能够耐受这种刺激时,必须综合仔细检查患者病史、临床检查、药物摄入和实验室研究的各个方面。正如针对住院患者的情况一样,必须随时准备好适当的应对措施。