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[腹腔镜胆囊切除术的麻醉:麻醉混合剂中氧化亚氮的使用]

[Anesthesia for laparoscopic cholecystectomy: the use of nitrous oxide in the anesthetic mixture].

作者信息

Abballe C, Camaioni D, Mascaro A, Boccardi M, Evangelista M

机构信息

Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Roma.

出版信息

G Chir. 1993 Dec;14(9):493-5.

PMID:8167083
Abstract

A study carried out on 44 patients undergoing laparoscopic cholecystectomy was started in order to evaluate if nitrous oxide is or not contraindicated. The patients were divided in two groups of 22 subjects receiving or not nitrous oxide in the anaesthetic mixture. All the patients received the same preanaesthetic medication (diazepam and atrophine), thiopental and fentanyl as induction drugs, vecuronium as muscle relaxant and isoflurane for maintenance of anaesthesia. Bowel distension, technical difficulty, incidence of postoperative nausea and vomiting were examined. Our conclusions were that nitrous oxide has no clinically deleterious effects during laparoscopic cholecystectomy.

摘要

为了评估氧化亚氮是否为禁忌,对44例行腹腔镜胆囊切除术的患者进行了一项研究。患者被分为两组,每组22名受试者,麻醉混合剂中分别使用或不使用氧化亚氮。所有患者均接受相同的麻醉前用药(地西泮和阿托品)、硫喷妥钠和芬太尼作为诱导药物、维库溴铵作为肌肉松弛剂以及异氟烷用于维持麻醉。检查了肠扩张、技术难度、术后恶心和呕吐的发生率。我们的结论是,在腹腔镜胆囊切除术期间,氧化亚氮没有临床有害影响。

相似文献

1
[Anesthesia for laparoscopic cholecystectomy: the use of nitrous oxide in the anesthetic mixture].[腹腔镜胆囊切除术的麻醉:麻醉混合剂中氧化亚氮的使用]
G Chir. 1993 Dec;14(9):493-5.
2
The impact of nitrous oxide on postoperative nausea and vomiting after desflurane anesthesia for breast surgery.氧化亚氮对乳腺癌手术地氟烷麻醉后术后恶心呕吐的影响。
Acta Anaesthesiol Belg. 1999;50(2):77-81.
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Anesthesia for laparoscopic cholecystectomy. Is nitrous oxide contraindicated?腹腔镜胆囊切除术的麻醉。氧化亚氮是否禁忌使用?
Anesthesiology. 1992 Apr;76(4):541-3. doi: 10.1097/00000542-199204000-00009.
4
Nitrous oxide does not increase the incidence of nausea and vomiting after isoflurane anesthesia.
Anesth Analg. 1987 Aug;66(8):761-5.
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[Antiemetic prophylaxis after laparoscopic cholecystectomy: comparative study of dehydrobenzperidol, metoclopramide, ondansetron and placebo].[腹腔镜胆囊切除术后的止吐预防:脱氢苯哌利多、甲氧氯普胺、昂丹司琼与安慰剂的比较研究]
Rev Esp Anestesiol Reanim. 1996 Aug-Sep;43(7):239-42.
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The dose-response of nitrous oxide in postoperative nausea in patients undergoing gynecologic laparoscopic surgery: a preliminary study.氧化亚氮对妇科腹腔镜手术患者术后恶心的剂量反应:一项初步研究。
Anesth Analg. 2008 Sep;107(3):818-23. doi: 10.1213/ane.0b013e318181f4aa.
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[Anesthetic management for laparoscopic cholecystectomy in a patient with dilated cardiomyopathy].[扩张型心肌病患者腹腔镜胆囊切除术的麻醉管理]
Masui. 1995 Aug;44(8):1118-23.
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[A comparison of the incidence of postoperative nausea and vomiting after propofol-fentanyl anesthesia and that after nitrous oxide-isoflurane anesthesia].丙泊酚-芬太尼麻醉与氧化亚氮-异氟烷麻醉术后恶心呕吐发生率的比较
Masui. 1998 Mar;47(3):286-9.
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Peroperative nitrous oxide does not influence recovery after laparoscopic cholecystectomy.术中使用氧化亚氮不影响腹腔镜胆囊切除术后的恢复。
Acta Anaesthesiol Scand. 1993 Oct;37(7):683-6. doi: 10.1111/j.1399-6576.1993.tb03789.x.
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Comparison of the anesthesia profiles between sevoflurane-nitrous oxide and propofol-nitrous oxide conveyed by laryngeal mask airway in patients undergoing ambulatory gynecological surgery.喉罩气道用于门诊妇科手术患者时七氟醚-氧化亚氮与丙泊酚-氧化亚氮麻醉效果的比较
Acta Anaesthesiol Taiwan. 2006 Jun;44(2):101-7.

引用本文的文献

1
[Comparison of endotracheal tube cuff pressure changes using air versus nitrous oxide in anesthetic gases during laparoscopic abdominal surgeries].[腹腔镜腹部手术中麻醉气体使用空气与一氧化二氮时气管导管套囊压力变化的比较]
Braz J Anesthesiol. 2018 Jul-Aug;68(4):369-374. doi: 10.1016/j.bjan.2018.01.011. Epub 2018 Jun 7.
2
[Nitrous oxide. Sense or nonsense for today's anaesthesia].[氧化亚氮。对当今麻醉来说是合理还是无稽之谈]
Anaesthesist. 2004 Sep;53(9):796-812. doi: 10.1007/s00101-004-0742-9.