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七氟烷、氧化亚氮和氧气诱导麻醉:自主通气与肺活量快速吸入诱导(VCRII)技术的比较

Induction of anesthesia with sevoflurane, nitrous oxide, and oxygen: a comparison of spontaneous ventilation and vital capacity rapid inhalation induction (VCRII) techniques.

作者信息

Yurino M, Kimura H

机构信息

Department of Anesthesia, Asahikawa Medical College, Hokkaido, Japan.

出版信息

Anesth Analg. 1993 Mar;76(3):598-601. doi: 10.1213/00000539-199303000-00026.

DOI:10.1213/00000539-199303000-00026
PMID:8452273
Abstract

In this study, the vital capacity rapid inhalation induction of anesthesia (VCRII) technique and the conventional spontaneous inhalation induction technique, each using 4.5% sevoflurane in nitrous oxide and oxygen, were compared. The VSRII group (n = 32) and conventional group (n = 32) were each tested on unpremedicated volunteers. VCRII required only half the time of conventional inhalation induction (54 s and 108 s, respectively), and was not associated with cardiovascular instability. Each of the two techniques was found acceptable by most of the volunteers studied (more than 80%). However, sevoflurane is best used with the VCRII technique because VCRII resulted in fewer excitement movements that could lead to severe complications and pronounced excitement.

摘要

在本研究中,对肺活量快速吸入诱导麻醉(VCRII)技术和传统的自主吸入诱导技术进行了比较,两种技术均使用4.5%的七氟醚与一氧化二氮和氧气混合。VCRII组(n = 32)和传统组(n = 32)分别对未使用术前药的志愿者进行测试。VCRII所需时间仅为传统吸入诱导的一半(分别为54秒和108秒),且与心血管不稳定无关。研究中的大多数志愿者(超过80%)认为这两种技术均可接受。然而,七氟醚最好与VCRII技术一起使用,因为VCRII导致的兴奋动作较少,这些动作可能导致严重并发症和明显的兴奋。

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Comparison of vital capacity induction with sevoflurane to intravenous induction with propofol in adult patients.
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