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[门诊麻醉——从麻醉学角度看其可能性与局限性]

[Ambulatory anesthesia--possibilities and limitations from the anesthesiologic viewpoint].

作者信息

Rügheimer E

出版信息

Langenbecks Arch Chir. 1982;358:421-6. doi: 10.1007/BF01271830.

DOI:10.1007/BF01271830
PMID:7169891
Abstract

Out-patient anaesthesia generally comprises a higher risk than the surgical procedure itself, because there is no anaesthetic procedure adapted to ambulatory surgery besides local anaesthesia. All the safeguards accorded in-patients are required, i.e. a history and physical examination to determine suitability for anaesthesia by the anaesthetizing doctor. Anaesthesia should provide optimal operating conditions with a short recovery period and post-anaesthetic care. For operations under general anaesthesia, co-operation with an anaesthetist is recommended: continuous management of anaesthesia and monitoring of the patient require a second doctor.

摘要

门诊麻醉的风险通常高于手术本身,因为除局部麻醉外,没有适用于门诊手术的麻醉方法。需要给予住院患者的所有安全保障措施,即由麻醉医生进行病史询问和体格检查以确定是否适合麻醉。麻醉应提供最佳的手术条件,且恢复期短,并提供麻醉后护理。对于全身麻醉下的手术,建议与麻醉师合作:持续的麻醉管理和患者监测需要另一位医生。

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本文引用的文献

1
Complications associated with ambulatory surgery.门诊手术相关并发症。
JAMA. 1980 Sep 5;244(10):1116-8.
2
Anaesthesia for day-care surgery: a symposium (III). Anaesthesia for adult surgical out-patients.日间手术麻醉:研讨会(III)。成人外科门诊患者的麻醉
Can Anaesth Soc J. 1980 Jul;27(4):409-11. doi: 10.1007/BF03007465.
3
Anaesthesia for day-care surgery: a symposium (II). Organization of the out-patient surgical facility.日间手术麻醉:研讨会(二)。门诊手术设施的组织
Can Anaesth Soc J. 1980 Jul;27(4):406-8. doi: 10.1007/BF03007464.
4
[Anesthesia in ambulatory surgery].[门诊手术中的麻醉]
Chirurg. 1981 Aug;52(8):494-500.
5
Anaesthesia for day-care surgery: a symposium (IV). Anaesthesia for paediatric out-patients.日间手术麻醉:研讨会(IV)。小儿门诊麻醉。
Can Anaesth Soc J. 1980 Jul;27(4):412-6. doi: 10.1007/BF03007466.
6
[196. Legal position of the anesthetist in ambulatory surgery].[196. 麻醉医生在门诊手术中的法律地位]
Langenbecks Arch Chir. 1967;319:1087-93. doi: 10.1007/BF02659446.
7
Morbidity following dental extraction. A comparative survey of local analgesia and general anaesthesia.拔牙后的发病率。局部麻醉与全身麻醉的比较调查。
Anaesthesia. 1976 Mar;31(2):171-80. doi: 10.1111/j.1365-2044.1976.tb11787.x.
8
Do they do as they are instructed? A review of out-patient anaesthesia.
Anaesthesia. 1978 Oct;33(9):832-5. doi: 10.1111/j.1365-2044.1978.tb08503.x.
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[Preparation for surgery from an anesthesiological viewpoint].[从麻醉学角度看手术准备]
Med Welt. 1979 Apr 27;30(17):639-44.
10
New i.v. anaesthetics.新型静脉麻醉剂。
Br J Anaesth. 1979 Jul;51(7):641-8. doi: 10.1093/bja/51.7.641.