Benjamin B
Ann Otol Rhinol Laryngol. 1984 Jul-Aug;93(4 Pt 1):338-42. doi: 10.1177/000348948409300411.
The requirements of anesthesia for laryngoscopy and microlaryngeal surgery must be compatible with maximum safety and minimum patient discomfort. Some techniques require the use of an endotracheal tube while some do not. Others use a modified tube or a jetting system. In general, for pediatric endoscopy we prefer spontaneous respiration with inhalational anesthesia supplemented by topical lignocaine (lidocaine), and in adults, a relaxant technique with controlled jet ventilation supplemented by topical lignocaine. A new pediatric microlaryngoscope and a new tube for jet ventilation in older children and adults are described.
喉镜检查和显微喉手术的麻醉要求必须兼顾最大安全性和最小患者不适感。有些技术需要使用气管内导管，有些则不需要。其他技术使用改良导管或喷射系统。一般来说，对于小儿内镜检查，我们更倾向于采用吸入麻醉下的自主呼吸，并辅以局部利多卡因（赛罗卡因）；对于成人，则采用松弛技术加控制喷射通气，并辅以局部利多卡因。本文描述了一种新型小儿显微喉镜以及一种适用于大龄儿童和成人的新型喷射通气导管。
