Schow D A, Jackson T L, Morrisseau P M, Trotter S J, Howe D C, Johnson D L
Department of Urology, Medical Center Hospital of Vermont, Burlington.
J Endourol. 1993 Dec;7(6):445-8. doi: 10.1089/end.1993.7.445.
Our results with the combination anesthetic technique of midazolam-alfentanil during elective outpatient extracorporeal shock wave lithotripsy on the Dornier HM3 (N = 79) were compared with those of epidural anesthesia in the same setting (N = 81). The mean anesthesia time and recovery room time were significantly shorter (72.85 v 113.58 minutes and 115.0 v 159.20 minutes, respectively) with the combination technique. No procedures in the alfentanil group had to be discontinued because of patient discomfort. Side effects with alfentanil were minimal, and oxygen saturation remained above 90% for all patients. Combination midazolam-alfentanil anesthesia is safe and allows the urologist to treat renal and ureteral calculi effectively and efficiently without using general or regional anesthesia.
我们将咪达唑仑 - 阿芬太尼联合麻醉技术用于多尼尔HM3型体外冲击波碎石术择期门诊患者（N = 79）的结果，与同一情况下硬膜外麻醉的结果（N = 81）进行了比较。联合技术组的平均麻醉时间和恢复室停留时间显著更短（分别为72.85分钟对113.58分钟和115.0分钟对159.20分钟）。阿芬太尼组没有因为患者不适而不得不中断任何手术。阿芬太尼的副作用极小，所有患者的氧饱和度均保持在90%以上。咪达唑仑 - 阿芬太尼联合麻醉是安全的，使泌尿科医生无需使用全身或区域麻醉就能有效且高效地治疗肾和输尿管结石。
