Nguyen H N
Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Necker, Enfants-Malades, Paris.
Ann Fr Anesth Reanim. 1994;13(4):519-23. doi: 10.1016/s0750-7658(05)80686-0.
In view of the rapid and complete recovery, the low incidence of hangover, nausea or vomiting, propofol can be considered as first choice agent for minor surgery, short operations and/or day-case surgery. For long and major procedures it is of no advantage over the thiopental-isoflurane technique. For a rapid recovery, the dose should be titrated, particularly during the closing stage of the procedure. As propofol has some amnesic properties, any instructions given to the patient postoperatively should be in writing. Sexual thoughts resulting from disinhibition may occur during emergence; therefore, it is recommended to have a third party present to avoid any implications of misconduct.
鉴于恢复迅速且完全，宿醉、恶心或呕吐的发生率低，丙泊酚可被视为小型手术、短时间手术和/或日间手术的首选药物。对于长时间和大型手术，它相对于硫喷妥钠-异氟烷技术并无优势。为实现快速恢复，应调整剂量，尤其是在手术结束阶段。由于丙泊酚具有一定的遗忘特性，术后给予患者的任何指示都应以书面形式进行。苏醒期间可能会因抑制解除而出现性方面的想法；因此，建议有第三方在场以避免任何不当行为的暗示。
