Stoppa R E, Riboulot M J, Agha B E, Verhaeghe P J, Larguéche S
Anesth Analg (Paris). 1980;37(9-10):497-9.
In the experience of the Universitary Surgical Clinic of Amiens, anaesthesia of more than 8 hours duration appears for 3 p. thousand of the total amount (9/3 000 on 1978). The authors distinguish between them "provided" very long duration operations and the "involuntary" ones (complex multitrauma, unexpected difficulties, etc.); that distinction is justified by many reasons among which one must consider mostly the team work setting up. The authors briefly report V. L. D. A. events in their own experience as in that reported in the medical literature. Also the practical difficulties resulting of V. L. D. A. in the intra-operative or post-operative periods are appraised. Then the authors propose some means able to reduce the number of V. L. D. A. and to assure a better proceeding of very long duration operations.
根据亚眠大学外科诊所的经验，持续时间超过8小时的麻醉在总量中占比为千分之三（1978年为9/3000）。作者将其分为“有准备的”超长时间手术和“非自愿的”手术（复杂多发伤、意外困难等）；这种区分有很多理由，其中必须主要考虑团队协作的建立。作者简要报告了他们自身经验中的超长持续时间麻醉事件以及医学文献中报道的此类事件。还评估了超长持续时间麻醉在术中和术后产生的实际困难。然后作者提出了一些方法，能够减少超长持续时间麻醉的数量，并确保超长时间手术能更好地进行。
