Attwood E C, Brooks W, Leckie W J
Thorax. 1970 Sep;25(5):540-3. doi: 10.1136/thx.25.5.540.
A technique of combined general and topical anaesthesia is described involving spontaneous ventilation. Patients aged 46 to 76 were examined in this way for periods varying between 5 and 25 minutes. Carbon dioxide elimination was satisfactory in all but 2 of 18 patients, and these 2 are discussed in detail. Capillary oxygen tension was maintained at a level of over 75 mm. Hg throughout all 11 examinations where oxygen was introduced at the proximal end of the bronchoscope, but dangerous hypoxaemia occurred in 2 patients in whom oxygen was not administered in this way.
描述了一种涉及自主通气的全身麻醉与局部麻醉联合技术。对年龄在46至76岁的患者采用这种方法进行检查,检查时间为5至25分钟不等。18例患者中除2例外,其余患者的二氧化碳排出情况均令人满意,并对这2例患者进行了详细讨论。在所有11次于支气管镜近端通入氧气的检查中,毛细血管氧分压维持在75毫米汞柱以上,但有2例未以这种方式给予氧气的患者发生了危险的低氧血症。