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喉罩气道与延长的平衡区域麻醉。

The laryngeal mask airway and prolonged balanced regional anaesthesia.

作者信息

Brimacombe J, Shorney N

机构信息

Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Australia.

出版信息

Can J Anaesth. 1993 Apr;40(4):360-4. doi: 10.1007/BF03009636.

DOI:10.1007/BF03009636
PMID:8485796
Abstract

The purpose of this paper is to report an eight-hour operation in which anaesthesia was provided by a combination of continuous epidural analgesia and light general anaesthesia administered via a laryngeal mask. During the perioperative period, the respiratory system was monitored with arterial blood gas and thoraco-abdominal movement analyses. There was no deterioration in respiratory function nor evidence of respiratory fatigue. We suggest that this is a suitable technique in fasting healthy patients undergoing prolonged surgery to the extremities.

摘要

本文旨在报告一例长达八小时的手术,术中通过连续硬膜外镇痛和经喉罩给予的浅全身麻醉相结合的方式实施麻醉。围手术期,通过动脉血气分析和胸腹运动分析对呼吸系统进行监测。呼吸功能未恶化,也无呼吸疲劳迹象。我们认为,对于禁食的健康患者接受长时间的肢体手术而言,这是一种合适的技术。

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引用本文的文献

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The LMA for unplanned prolonged procedures.用于非计划性长时间手术的喉罩气道。
Can J Anaesth. 1995 Dec;42(12):1176. doi: 10.1007/BF03015108.
2
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3
The laryngeal mask airway: its features, effects and role.喉罩气道:其特点、作用及角色。
Can J Anaesth. 1994 Oct;41(10):930-60. doi: 10.1007/BF03010937.

本文引用的文献

1
ATELECTASIS AND SHUNTING DURING SPONTANEOUS VENTILATION IN ANESTHETIZED PATIENTS.麻醉患者自主通气期间的肺不张与分流
Anesthesiology. 1964 May-Jun;25:297-301. doi: 10.1097/00000542-196405000-00006.
2
Noninvasive monitoring of tidal volume with an extensometer: laboratory and clinical studies.
Anaesth Intensive Care. 1993 Feb;21(1):62-6. doi: 10.1177/0310057X9302100115.
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The laryngeal mask airway. Development and preliminary trials of a new type of airway.喉罩气道。一种新型气道的研发与初步试验。
Anaesthesia. 1985 Apr;40(4):356-61.
4
Aspiration beyond endotracheal cuffs.气管插管套囊上方的误吸。
Can Anaesth Soc J. 1986 May;33(3 Pt 1):273-9. doi: 10.1007/BF03010737.
5
The laryngeal mask airway: clinical appraisal in 250 patients.喉罩气道:250例患者的临床评估
Can J Anaesth. 1990 Jul;37(5):509-13. doi: 10.1007/BF03006317.
6
Controlled ventilation with Brain laryngeal mask.
Med J Malaysia. 1990 Mar;45(1):65-9.
7
Aspiration pneumonia and the laryngeal mask airway.误吸性肺炎与喉罩气道
Anaesthesia. 1990 Dec;45(12):1039-40. doi: 10.1111/j.1365-2044.1990.tb14882.x.
8
The Extensometer. Potential applications in anaesthesia and intensive care.引伸计。在麻醉和重症监护中的潜在应用。
Anaesthesia. 1991 Sep;46(9):756-61. doi: 10.1111/j.1365-2044.1991.tb09773.x.
9
The development of the Laryngeal Mask--a brief history of the invention, early clinical studies and experimental work from which the Laryngeal Mask evolved.喉罩的发展——发明简史、早期临床研究以及喉罩从中演变而来的实验工作。
Eur J Anaesthesiol Suppl. 1991;4:5-17.
10
The Laryngeal Mask--an overview.喉罩——概述
Eur J Anaesthesiol Suppl. 1991;4:19-31.