智障患者的全身麻醉。一项基于牙科手术麻醉的研究。

General anaesthesia for the mentally handicapped. A study based on anaesthesia for dental surgery.

作者信息

Diamond A W, Cochrane D F

出版信息

Anaesthesia. 1976 Mar;31(2):190-4. doi: 10.1111/j.1365-2044.1976.tb11789.x.

DOI:10.1111/j.1365-2044.1976.tb11789.x

Abstract

The establishment of a general anaesthetic unit for dental surgery in a hospital for the mentally subnormal is described. The problems encountered in sedating the mentally handicapped patient in such a way as to permit an unhindered induction of anaesthesia are described together with the evolution of a technique of premedication using nitrazepam and droperidol. The medical problems complicating anaesthesia found in this group of patients are enumerated and their effects on the development of a suitable anaesthetic technique are described.

摘要

本文描述了在一家为精神发育迟缓者设立的医院中建立牙科手术全身麻醉单元的情况。阐述了在镇静智障患者以实现无阻碍的麻醉诱导过程中遇到的问题，以及使用硝西泮和氟哌利多进行术前用药技术的演变。列举了该组患者麻醉过程中出现的复杂医学问题，并描述了它们对合适麻醉技术发展的影响。