Kaye B L, Kruse J C
Plast Reconstr Surg. 1977 Nov;60(5):747-51. doi: 10.1097/00006534-197711000-00012.
Although local anesthesia will, and should, continue to be the principal method of anesthesia for most face lift operations, we believe that general endotracheal anesthesia, supplemented by local anesthesia with epinephrine, offers significant advantages in a selected group of patients. We review 100 consecutive rhytidectomies done under this combination of anesthetics. These patients had no significant intraoperative or postoperative problems, and the results compare favorably with the usual technique of local anesthesia plus basal sedation. Good cooperation between surgeon and anesthesiologist, and a thorough understanding of the principles involved in such anesthesia administrations (particularly when relatively large volumes of local anesthesia with epinephrine are going to be used) are necessary for the patient's safe course during the procedure.
尽管局部麻醉过去是、现在也应该是大多数面部提升手术的主要麻醉方法，但我们认为，对于部分特定患者，气管内全身麻醉辅以含肾上腺素的局部麻醉具有显著优势。我们回顾了连续100例采用这种麻醉组合进行的除皱术。这些患者术中及术后均未出现重大问题，其效果与局部麻醉加基础镇静的常规技术相比毫不逊色。在手术过程中，为确保患者安全，外科医生和麻醉医生之间需密切配合，并充分理解此类麻醉管理所涉及的原则（尤其是在将要使用相对大量含肾上腺素的局部麻醉剂时）。
