Friedberg B L
Aesthetic Plast Surg. 1993 Fall;17(4):297-300. doi: 10.1007/BF00437102.
Case reports are presented demonstrating a new, safe, and simple intravenous technique for outpatient anesthesia. Vinnik's technique requires hypnotic doses of diazepam (Valium) to prevent ketamine-induced hallucinations. The initial hypothesis tested in this clinical series was whether hypnotic doses of propofol would prevent hallucinations from ketamine as satisfactorily as diazepam. Once the initial hypothesis was confirmed, consideration was given to moderating the cost of propofol by determining the effect of two levels of midazolam premedication on propofol requirements. Hypnotic doses of propofol do prevent ketamine-induced hallucinations. It is possible to achieve significant propofol savings by premedication with midazolam without compromising patient readiness for discharge by the end of the first postoperative hour.
本文呈现了一些病例报告，展示了一种用于门诊麻醉的全新、安全且简单的静脉技术。温尼克技术需要使用催眠剂量的地西泮（安定）来预防氯胺酮引起的幻觉。在这个临床系列中所测试的初始假设是，催眠剂量的丙泊酚是否能像地西泮一样令人满意地预防氯胺酮引起的幻觉。一旦初始假设得到证实，便考虑通过确定两种咪达唑仑术前用药水平对丙泊酚需求量的影响来降低丙泊酚的成本。催眠剂量的丙泊酚确实能预防氯胺酮引起的幻觉。通过咪达唑仑术前用药可以显著节省丙泊酚，且不会影响患者在术后第一小时结束时出院的准备情况。
