Hoffmann P, Schockenhoff B
Geburtshilfe Frauenheilkd. 1980 Sep;40(9):823-8. doi: 10.1055/s-2008-1039338.
A new short general anaesthesia for minor gynaecological operations is presented, which is also suitable for out-patients. The patient receives 0.05 mg. Atropin and 10 mg. Diazapam i.m. 30 minutes prior to the operation. Pentazocin in a dosage of 0.75 mg/kg. body weight was injected intravenously. 1 minute later Etomidate in a dosage of 0.3 mg/kg. body weight was injected intravenously. 1/3 of the initial dose of Etomidate was given as necessary at an average of 5 minutes following the initial dose. Through-out the procedure the patients spontaneously breathe room air. As advantages of the method are listed the minimal disturbances of the heart and the circulatory system, the lack of respiratory depression, the lack of specific organ toxicity, the absence of measurable release of histamine, the unlimited frequent repetition possible, the lack of damage to the personnel by anaesthetic gases and the safety and simplicity of the anaesthesia.
本文介绍了一种适用于小型妇科手术的新型短效全身麻醉方法，该方法也适用于门诊患者。患者在手术前30分钟肌肉注射0.05毫克阿托品和10毫克地西泮。静脉注射剂量为0.75毫克/千克体重的喷他佐辛。1分钟后，静脉注射剂量为0.3毫克/千克体重的依托咪酯。必要时，在初始剂量后平均5分钟给予初始剂量1/3的依托咪酯。在整个过程中，患者自主呼吸室内空气。该方法的优点包括对心脏和循环系统的干扰最小、无呼吸抑制、无特定器官毒性、无组胺释放、可无限次重复、麻醉气体对人员无损害以及麻醉安全简便。
