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眼科手术中局部备用麻醉下的清醒镇静与行为改变

Conscious sedation and behavioral modification with local standby anesthesia for ophthalmologic surgery.

作者信息

Shane S M

出版信息

Ophthalmic Surg. 1982 Jan;13(1):50-2.

PMID:7058050
Abstract

Local and retrobulbar block anesthesia in combination with a brief span of amnesia - not general anesthesia -- produced by minute doses of four intravenous sedative drugs, has made it possible to perform ophthalmologic surgery without the memory of the pain of the retrobulbar block, followed by an ensuing quiescence augmented by behavioral modification for the duration of the operation. Patients are awake, rational, cooperative, calm and relaxed, and because of behavioral modification, are highly motivated to guarantee not only their own survival, but to feel a part of the team effort to preserve the integrity of their eye.

摘要

局部和球后阻滞麻醉,再加上小剂量四种静脉镇静药物产生的短暂失忆——而非全身麻醉——使得在没有球后阻滞疼痛记忆的情况下进行眼科手术成为可能,随后通过行为调整在手术期间增强平静状态。患者保持清醒、理智、配合、平静且放松,并且由于行为调整,他们有很强的动力不仅要确保自己的存活,还要感觉自己是保护眼睛完整性团队努力的一部分。

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