Lo Presti C, Vitalone V, Fusco G, Assisi P
Servizio di Anestesia, Ospedale S. Filippo Neri, Roma.
Minerva Anestesiol. 1993 Apr;59(4):179-85.
The authors review the advantages and disadvantages of general and regional anesthesia in bad clinical conditions. The purpose of this study was to evaluate the efficacy of Blended Anesthesia (association of general anesthesia with a regional technique) in 25 patients belonging to ASA classes II-III-IV, undergoing surgery for various disease. General anesthesia was provided by perfusion of propofol, after a peridural or subarachnoid continuous anesthesia was started. Patients were either in spontaneous or controlled ventilation. There were no cases of hypotension or other important side effects and the majority of patients judged good the anesthetic technique in regard to lack of pain, exhaustion and recall of operation.
作者回顾了全身麻醉和区域麻醉在不良临床状况下的优缺点。本研究的目的是评估混合麻醉（全身麻醉与区域技术联合）对25例ASA分级为II-III-IV级、因各种疾病接受手术的患者的疗效。在开始硬膜外或蛛网膜下腔持续麻醉后，通过输注丙泊酚实施全身麻醉。患者采用自主通气或控制通气。未出现低血压或其他严重副作用的病例，大多数患者认为该麻醉技术在无痛、无疲惫及无术中回忆方面效果良好。
