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[短期麻醉的电临床特征(作者译)]

[Electro-clinical features of short-term anaesthesia (author's transl)].

作者信息

Weber M, Laxenaire M C, Fays J, Hottier M C, Cozette P

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1977 Jan-Mar;7(1):38-44. doi: 10.1016/s0370-4475(77)80034-8.

Abstract

Short-term anaesthesia is defined in terms of duration (allowing brief but what might be painful surgery), rapid recovery, metabolism and mode of administration. After a brief review of barbiturate narcoses, the authors study the electro-clinical features of anaesthesia under Althesin, Epontol and ketamine. For the first two, although there are some clinical differences, the E.E.G. effects are fairly similar with rapid onset of burst suppression. Recovery is rapid and its study (clinically, with psychomotor tests and E.E.G.) indicates that these drugs can safely be used with out-patients. Ketamine causes very specific alterations, both clinical (dissociative anaesthesia) and E.E.G. (diffuse and continuous theta). This drug is used particularly in painful operations; its use with out-patients would seem awkward.

摘要

短期麻醉是根据持续时间(允许进行短暂但可能痛苦的手术)、快速恢复、代谢及给药方式来定义的。在简要回顾巴比妥类麻醉后,作者研究了阿法沙龙、埃普托醇和氯胺酮麻醉的电临床特征。对于前两者,尽管存在一些临床差异,但脑电图效应相当相似,爆发抑制起效迅速。恢复很快,对其进行的研究(临床上,通过精神运动测试和脑电图)表明,这些药物可安全用于门诊患者。氯胺酮会引起非常特殊的变化,包括临床方面(分离麻醉)和脑电图方面(弥漫性和持续性θ波)。这种药物特别用于疼痛手术;用于门诊患者似乎不太合适。

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