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门诊患者麻醉苏醒:麻醉性镇痛药与吸入麻醉技术的比较

Recovery from anaesthesia in outpatients: a comparison of narcotic and inhalational techniques.

作者信息

Enright A C, Pace-Floridia A

出版信息

Can Anaesth Soc J. 1977 Sep;24(5):618-22. doi: 10.1007/BF03005537.

DOI:10.1007/BF03005537
PMID:907900
Abstract

Forty-one patients undergoing outpatient anaesthesia and operation were studied. Nineteen received inhalation agents. Twenty-two received narcotics. Up to one hour post-operatively, patients who received inhalation anaesthesia performed significantly better than did those who received narcotics. After 60 minutes there was no significant difference between the two groups. It is suggested that narcotics be avoided in patients who will be discharged within one hour of anaesthesia. A small number of patients exhibited slow recovery. It is suggested that these may be patients at risk and that special care be exercised.

摘要

对41例接受门诊麻醉和手术的患者进行了研究。19例使用吸入剂。22例使用麻醉药。术后长达1小时,接受吸入麻醉的患者表现明显优于接受麻醉药的患者。60分钟后,两组之间无显著差异。建议在麻醉后1小时内出院的患者中避免使用麻醉药。少数患者恢复缓慢。建议这些可能是有风险的患者,应给予特别护理。

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本文引用的文献

1
Enflurane ambulatory anesthesia: recovery compared to intravenous anesthesia.恩氟烷非住院麻醉:与静脉麻醉相比的恢复情况
Anesth Prog. 1975 Jan;22(1):7-11.
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THE MEASUREMENT OF RECOVERY FROM ANAESTHESIA.
Br J Anaesth. 1965 May;37:296-302. doi: 10.1093/bja/37.5.296.
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A method of studying recovery after anaesthesia. A critical assessment of recovery following methohexitone and thiopentone using a complex performance task.一种研究麻醉后恢复情况的方法。使用复杂的执行任务对甲己炔巴比妥和硫喷妥钠后的恢复情况进行批判性评估。
Anaesthesia. 1963 Apr;18:189-200. doi: 10.1111/j.1365-2044.1963.tb13533.x.
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Comparative recovery of mental functions after electroconvulsive therapy with methohexital and thiopentone anaesthesia.甲己炔巴比妥和硫喷妥钠麻醉下进行电休克治疗后精神功能的比较恢复情况。
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Measuring recovery from anesthesia--a simple test.测量麻醉恢复情况——一项简单测试。
Anesth Analg. 1969 Jan-Feb;48(1):136-40.
6
A comparative study of psychomotor effects of intravenous agents used in dentistry.牙科用静脉注射剂精神运动效应的比较研究。
Oral Surg Oral Med Oral Pathol. 1970 Jul;30(1):34-40. doi: 10.1016/0030-4220(70)90007-1.
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Nitrous oxide--a study of physiological and psychomotor effects.
J Am Dent Assoc. 1971 Jan;82(1):142-50. doi: 10.14219/jada.archive.1971.0008.
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Experiences with outpatient anesthesia.门诊麻醉经验
Anesth Analg. 1973 Nov-Dec;52(6):881-7.
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Experiences with an outpatient anesthesia service for children.
Anesth Analg. 1973 Nov-Dec;52(6):877-80.
10
Tests of recovery from anaesthesia and sedation: intravenous diazepam in dentistry.麻醉与镇静恢复测试:牙科领域中的静脉注射地西泮
Br J Anaesth. 1973 Feb;45(2):207-15. doi: 10.1093/bja/45.2.207.