Shaker M H, Konchigeri H N, Andrews A H, Holinger P H
Laryngoscope. 1976 Jun;86(6):857-61. doi: 10.1288/00005537-197606000-00012.
Fifty-one patients underwent 71 carbon dioxide laser procedures under general anesthesia for various intralaryngeal pathology. Anesthesia was induced with thiopental sodium, followed by succinylcholine to facilitate endotracheal intubation. For maintenance of anesthesia, 70% nitrous oxide was supplemented with halothane, enflurane or small doses of fentanyl. Succinylcholine, d-tubocurare or pancuronium were used to maintain muscular relaxation of jaw, pharyngeal and laryngeal muscles for a smooth lasing procedure. Small diameter (16-22 Fr.), red rubber, cuffed endotracheal tubes provided maximum working space, facilitated the controlled ventilation and reduced the explosion hazard of the anesthetic gases. Safely eyeglasses were used by all the personnel in the operating room against accidental injury to the cornea by the laser beam. Anesthetic management provided excellent operative conditions with maximum safety to the patient and the personnel in the operating room.
51例患者因各种喉内病变在全身麻醉下接受了71次二氧化碳激光手术。用硫喷妥钠诱导麻醉，随后用琥珀酰胆碱以利于气管插管。维持麻醉时，用70%氧化亚氮加氟烷、恩氟烷或小剂量芬太尼。使用琥珀酰胆碱、右旋筒箭毒碱或泮库溴铵来维持颌部、咽部和喉部肌肉的松弛，以便顺利进行激光手术。小直径（16 - 22 Fr.）的红色橡胶带套囊气管导管提供了最大的操作空间，便于控制通气并降低了麻醉气体的爆炸风险。手术室所有人员都佩戴了防护眼镜，以防激光束意外损伤角膜。麻醉管理为手术提供了极佳的条件，对患者和手术室人员都有最大程度的安全保障。
