Veyckemans F, Matta A, Gribomont B F, Kestens-Servaye Y
Acta Anaesthesiol Belg. 1985 Sep;36(3):143-50.
The authors present a retrospective study on the safety of their induction technique of anaesthesia in infants less than 30 days old. The records of 197 consecutive cases are reviewed, 47 of which concern major cardiac surgery. All the details of the technique are given: inhalation of halothane in O2 following a vagolytic premedication, spray of lidocaine 2 mg/kg on the vocal cords, orotracheal intubation to check adequacy of foreseen tube size, followed by definitive nasal intubation with the tube passed over a siliconed suction catheter. The results are discussed. The use of combined general and topical anaesthesia makes endotracheal intubation of the neonate nice and easy, atraumatic, well suited for training and more humane. Awake intubation should only be used as a resuscitative measure.
作者对其用于30日龄以下婴儿的麻醉诱导技术的安全性进行了一项回顾性研究。回顾了197例连续病例的记录，其中47例涉及心脏大手术。文中给出了该技术的所有细节：在使用抗迷走神经药物进行术前用药后，吸入含氟烷的氧气，在声带喷洒2mg/kg的利多卡因，经口气管插管以检查预期气管导管尺寸是否合适，然后通过硅胶吸引导管引导进行最终的鼻插管。对结果进行了讨论。全身麻醉与局部麻醉相结合的方法使新生儿气管插管操作顺利、轻松、无创，非常适合培训且更具人性化。清醒插管仅应用作复苏措施。
