Pfeifer G, Solymosi L, Grimm R, Wappenschmidt J
Anasth Intensivther Notfallmed. 1984 Apr;19(2):57-9.
Cerebral angiographies can be performed under general anaesthesia, analgosedation in the presence of an anaesthesiologist, and under local anaesthesia. The criteria governing the choice of the most appropriate method of anaesthesiology are discussed. In computed tomography of the head, general anaesthesia is indicated only if it proves impossible to achieve satisfactory cooperation with the patient. Discographies , myelographies and the now rare pneumoencephalography are performed almost without exception under local anaesthesia or without anaesthesia. If general anaesthesia is preferred, it will be necessary to take into account the special pathophysiological conditions obtaining in neurosurgical patients (disturbance of cerebral blood flow due to enhanced intracranial pressure or caused by stenosing vascular processes).
脑血管造影可以在全身麻醉、有麻醉医生在场的镇痛镇静以及局部麻醉下进行。文中讨论了选择最合适麻醉方法的标准。在头部计算机断层扫描中,只有当证明无法与患者取得满意的配合时才需要全身麻醉。椎间盘造影、脊髓造影以及如今已很少见的气脑造影几乎无一例外是在局部麻醉或无麻醉的情况下进行的。如果选择全身麻醉,就必须考虑神经外科患者所特有的病理生理状况(由于颅内压升高或血管狭窄性病变导致的脑血流紊乱)。