Brummitt W M, Fearon B, Brama I
Ann Otol Rhinol Laryngol. 1981 Sep-Oct;90(5 Pt 1):475-7. doi: 10.1177/000348948109000512.
Currently available anesthetic techniques for laryngoscopy and bronchoscopy are briefly evaluated. Recently reported complications from the literature are reviewed. Satisfactory anesthetic techniques are shown to be limited by the physical dimensions of the instruments as well as the extreme limitations of the flow capacity of the small airway itself. The technique used at the Hospital for Sick Children for the past ten years is described. It is based upon spontaneous respiration with inhalation anesthesia, supplemented by topical lidocaine (Xylocaine). Size and age of the patient are not limiting factors. The safety and effectiveness of this technique are supported by representative blood gas studies as well as the clinical records of over 400 cases.
本文简要评估了目前用于喉镜检查和支气管镜检查的麻醉技术。回顾了近期文献报道的并发症。结果表明，令人满意的麻醉技术受到器械物理尺寸以及小气道本身流量能力的极端限制。文中描述了过去十年中 Sick Children 医院所采用的技术。该技术基于吸入麻醉下的自主呼吸，并辅以局部利多卡因（赛罗卡因）。患者的体型和年龄并非限制因素。代表性的血气研究以及 400 多例临床记录均证实了该技术的安全性和有效性。
