Germond M
Clinique Sainte-Croix, Le Mans.
Ann Fr Anesth Reanim. 1994;13(4):609-12. doi: 10.1016/S0750-7658(05)80710-5.
On the basis of published data and our own experience, the procedure to be followed for general anaesthesia in a patient with a full stomach is that of a rapid sequence induction (induction-intubation) or "crash-induction". This technique which consists of the administration of atropine, a hypnotic and suxamethonium together with Sellick's manoeuvre, will provide the best conditions for intubation. In view of the characteristics of propofol (rapid effect, deep depression of pharyngo-laryngeal reflexes) it seems possible to use it as a first choice induction agent in patients who are haemodynamically stable. However, it should be noted, that there is, as yet, no evidence of the superiority of propofol over other induction agents.
根据已发表的数据和我们自己的经验,对于饱胃患者进行全身麻醉时应遵循的程序是快速顺序诱导(诱导 - 插管)或“紧急诱导”。该技术包括给予阿托品、一种催眠药和琥珀胆碱以及Sellick手法,将为插管提供最佳条件。鉴于丙泊酚的特性(起效迅速,咽喉反射深度抑制),在血流动力学稳定的患者中似乎可以将其作为首选诱导剂。然而,应该注意的是,目前尚无证据表明丙泊酚优于其他诱导剂。