局部麻醉和镇静下的中耳手术。
Middle ear surgery under local anaesthesia and sedation.
作者信息
Edussuriya B, Goonasekera C D, Rajapakse M, Rajapakse V P, Jayasooriya D
机构信息
General Hospital, Kandy and Suwasevana Hospital (Pvt.) Ltd., Sri Lanka.
出版信息
Ceylon Med J. 1997 Jun;42(2):75-7.
BACKGROUND
Middle ear surgical procedures such as myringoplasty, stapedectomy and tympanolasty are traditionally performed under general anaesthesia, with induced hypotension.
METHODS
We performed middle ear surgery in 73 patients, without induced hypotension, under local anaesthesia with sedation, and assessed feasibility, safety and acceptability.
RESULTS
The operating conditions achieved were good and the complications were minor. None required conversion to general anaesthesia.
CONCLUSION
Middle ear surgery under local anaesthesia and sedation is safe and feasible. Prospective trials are needed to fully assess the advantages of this technique over general anaesthesia.
背景
传统上，诸如鼓膜成形术、镫骨切除术和鼓室成形术等中耳外科手术是在全身麻醉并诱导低血压的情况下进行的。
方法
我们对73例患者在局部麻醉加镇静的情况下进行了中耳手术，未诱导低血压，并评估了其可行性、安全性和可接受性。
结果
所达到的手术条件良好，并发症轻微。无一例需要转为全身麻醉。
结论
局部麻醉加镇静下的中耳手术是安全可行的。需要进行前瞻性试验以全面评估该技术相对于全身麻醉的优势。
Zotero 插件