Abdulla W, Gärtner J, Frey R
Klin Monbl Augenheilkd. 1978 Jul;173(1):45-53.
The clinical results of 50 patients with retinal and vitreous surgery performed in combined electrostimulating anaesthesia are reported. Premedication consisted of a barbiturate such as medomin and of atosil, ordered the evening before surgery. 1/2 hour preoperatively 1.5--2 ml thalamonal and 0.5 mg atropine were administered intramusculary. All patients were intubated and controlled respirated; stimulation starting about 5 minutes following intubation procedure. During continuous intermittent relaxation anaesthesia was maintained by a mixture of nitrous oxide/oxygen 1:1 and electrical stimulation at the dermatoms of N. trigeminus I, II and Plexus cervicalis 3 and 4. For the first time stimulation of the dermatoms during anaesthesia was done by self adhesive electrodes. So we were able to eliminate the circumstantial and not even harmless invasivity of the needle technique. The main advantages of the new method we see in a good circulatory stability and in good postoperative cooperation of the patients. Especially in old and poor risk patients the results of transcutaneous electrostimulating anaesthesia are excellent.
报告了50例在复合电刺激麻醉下进行视网膜和玻璃体手术患者的临床结果。术前用药包括巴比妥类药物如美多眠和阿妥西尔,于手术前一晚给药。术前半小时肌肉注射1.5 - 2毫升硫喷妥钠和0.5毫克阿托品。所有患者均行气管插管并控制呼吸;在插管程序后约5分钟开始刺激。在持续间歇性松弛麻醉期间,通过一氧化二氮/氧气1:1的混合气体以及对三叉神经I、II分支和颈丛3、4皮节进行电刺激来维持麻醉。首次在麻醉期间通过自粘电极对皮节进行刺激。这样我们就能够消除针刺技术的间接且并非完全无害的侵入性。我们认为新方法的主要优点在于良好的循环稳定性以及患者术后良好的配合度。特别是对于老年和高危患者,经皮电刺激麻醉的效果极佳。