Cara-Beurton M
Anesth Analg (Paris). 1980;37(9-10):493-5.
The duration of anesthesia and surgical operation increased considerably during the last decennia. Such a long duration induces pathophysiological phenomenons unapparent for shorter operation and which are responsible of complications during or after the operation (cellular hypoxia, arrest of mitosis, deviation of any metabolisms). We speak then of anesthesia for very long duration operation and we fixe arbitrarily this duration to eight hours, the risks are considered as acceptable and without loud sequellas. It is necessary to precise the physiological abnormal causes which occurs for proposing means of prevention; there are both anesthetic and surgical. They show the necessity of pre-operatory concentration between medical, anesthesiological and surgical staffs for evaluating acceptable risks. We emphasize the necessity to forsee a change of the working staff after a reasonable time as in the high collective responsibility organisms.
在过去十年中，麻醉和外科手术的持续时间大幅增加。如此长的持续时间会引发一些病理生理现象，这些现象在较短手术中并不明显，并且是手术期间或术后并发症的原因（细胞缺氧、有丝分裂停滞、任何代谢偏差）。于是我们谈及超长时长手术的麻醉，我们任意将这个时长确定为八小时，此时风险被认为是可接受的且不会留下明显后遗症。有必要明确出现的生理异常原因，以便提出预防措施；这些原因既有麻醉方面的，也有外科方面的。它们表明医疗、麻醉和外科工作人员在术前需要集中精力评估可接受的风险。我们强调，如同在高度集体负责的机构中一样，有必要在合理时间后安排工作人员轮值。
