Williams S R, van Hasselt C A, Aun C S, Tong M C, Carruth J A
Department of Otolaryngology, Royal South Hants Hospital, Southampton, United Kingdom.
Am J Otolaryngol. 1993 Jul-Aug;14(4):271-4. doi: 10.1016/0196-0709(93)90074-h.
To evaluate the operative conditions and safety of a tubeless technique of anesthesia for carbon dioxide laser surgery of the larynx.
This prospective study evaluated 78 consecutive procedures in 72 adult patients undergoing carbon dioxide laser microlaryngeal surgery. Anesthesia was maintained by an intravenous infusion of Propofol (ICI Pharmaceuticals, Cheshire, UK) while the patient breathed spontaneously without endotracheal intubation.
The operative conditions were optimal in 76 of the 78 procedures providing a clear uninterrupted view of the larynx with no combustible material in the surgical field.
This series shows the technique described to be safe without risk of combustion and provides an unobstructed view to the larynx.
评估用于喉部二氧化碳激光手术的无管麻醉技术的手术条件及安全性。
这项前瞻性研究评估了72例接受二氧化碳激光显微喉镜手术的成年患者连续进行的78例手术。通过静脉输注丙泊酚（英国柴郡ICI制药公司生产）维持麻醉，患者自主呼吸，无需气管插管。
78例手术中有76例手术条件最佳，能清晰、不间断地观察喉部，术野无易燃物。
本系列研究表明，所描述的技术安全，无燃烧风险，且能提供喉部的清晰视野。
