Conradi R, Just O H
Prakt Anaesth. 1977 Feb;12(1):38-42.
A special technique of neurolept analgesia for electrocoagulation of the gasserian ganglion is described which has been used since 1974. Induction is by means of Fentanyl and Valium. The dosis is sufficiently low for the patient to remain responsive and co-operative but practically painfree. The actual thermocoagulation is performed in intravenous methohexital sodium anaesthesia. The dosis is kept so low that the patient wakes up within 2--3 minutes and is able to inform the surgeon of the success or failure of the operation. If no relief from pain has been obtained a further 20 mg of methohexital are injected and the operation is repeated.
本文描述了一种自1974年以来一直使用的用于三叉神经节电凝的神经安定镇痛特殊技术。诱导采用芬太尼和安定。剂量足够低，患者仍能保持反应能力并配合，但几乎无痛。实际的热凝操作在静脉注射美索比妥钠麻醉下进行。剂量保持很低，患者在2至3分钟内醒来，并能告知外科医生手术的成功或失败。如果疼痛没有缓解，则再注射20毫克美索比妥，然后重复手术。
