Rontal M, Rontal E, Wenokur M
Laryngoscope. 1980 Jul;90(7 Pt 1):1162-8. doi: 10.1288/00005537-198007000-00012.
The ideal anesthetic in endolaryngeal surgery provides a quiet completely unobstructed larynx in a patient who is comfortable and has respiratory functions maintained. Dissatisfaction with the intubation and venturi techniques has led to the use of a high pressure jet insufflation method. The results of this study have shown that anesthetically this technique is safe for a wide range of patients and endoscopic procedures. Laryngologically, the absence of glottic obstruction has broadened the scope of endoscopic procedures performed under general anesthesia.
理想的喉内手术麻醉应使患者喉部安静、完全通畅,患者感觉舒适且呼吸功能得以维持。对插管和文丘里技术的不满促使人们采用高压喷射通气法。本研究结果表明,从麻醉角度来看,该技术对广泛的患者群体和内镜手术而言是安全的。从喉科学角度而言,声门无梗阻扩大了全身麻醉下所施行内镜手术的范围。