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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.

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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