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用于喉内手术的喷射通气麻醉

Jet insufflation anesthesia for endolaryngeal surgery.

作者信息

Rontal M, Rontal E, Wenokur M

出版信息

Laryngoscope. 1980 Jul;90(7 Pt 1):1162-8. doi: 10.1288/00005537-198007000-00012.

DOI:10.1288/00005537-198007000-00012
PMID:6771475
Abstract

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.

摘要

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。

相似文献

1
Jet insufflation anesthesia for endolaryngeal surgery.用于喉内手术的喷射通气麻醉
Laryngoscope. 1980 Jul;90(7 Pt 1):1162-8. doi: 10.1288/00005537-198007000-00012.
2
Laryngeal microsurgery without intubation.无插管喉显微手术
South Med J. 1976 Jul;69(7):828-30. doi: 10.1097/00007611-197607000-00003.
3
End-tidal oxygen concentration and pulse oximetry for monitoring oxygenation during intratracheal jet ventilation.
J Clin Monit. 1995 Nov;11(6):373-80. doi: 10.1007/BF01616743.
4
High-frequency jet ventilation in endolaryngeal surgery.喉内手术中的高频喷射通气
J Clin Anesth. 1995 Feb;7(1):19-25. doi: 10.1016/0952-8180(94)00009-s.
5
Venturi insufflation oxygenation during nonintubated endolaryngeal microsurgery.非插管喉内显微手术期间的文丘里喷射通气氧合
Am Surg. 1976 Jan;42(1):48-51.
6
Tubeless anesthetic technique for optimal carbon dioxide laser surgery of the larynx.用于喉部最佳二氧化碳激光手术的无管麻醉技术。
Am J Otolaryngol. 1993 Jul-Aug;14(4):271-4. doi: 10.1016/0196-0709(93)90074-h.
7
Airway management and anesthesia in neonates, infants and children during endolaryngotracheal surgery.新生儿、婴儿及儿童在气管内手术期间的气道管理与麻醉
Paediatr Anaesth. 2007 Oct;17(10):942-7. doi: 10.1111/j.1460-9592.2007.02300.x.
8
The Hunsaker Mon-Jet ventilation tube for microlaryngeal surgery: optimal laryngeal exposure.用于显微喉手术的洪萨克单喷射通气管:最佳喉部暴露。
Ear Nose Throat J. 2002 Jun;81(6):390-4.
9
Technique of ventilation during endolaryngeal surgery under general anaesthesia.全身麻醉下喉内手术期间的通气技术
Can Anaesth Soc J. 1973 May;20(3):369-77. doi: 10.1007/BF03027174.
10
Anesthesia for laser surgery.激光手术麻醉
Anesth Analg. 1983 Feb;62(2):218-29.

引用本文的文献

1
Airway management using O(2) flush via Cook airway exchange catheter® for microlaryngeal surgery.在显微喉镜手术中,通过库克气道交换导管®使用纯氧冲洗进行气道管理。
Korean J Anesthesiol. 2012 Jul;63(1):87-9. doi: 10.4097/kjae.2012.63.1.87. Epub 2012 Jul 24.
2
Limitations of jet ventilation through the laryngoscope.通过喉镜进行喷射通气的局限性。
Can Anaesth Soc J. 1982 Mar;29(2):117-20. doi: 10.1007/BF03007988.