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首页> 外文期刊>Current opinion in anaesthesiology >Anaesthesia outside the operating room: conflicting strategies?
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Anaesthesia outside the operating room: conflicting strategies?

机译：手术室外麻醉：策略是否冲突？

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Due to the development of alternatives to surgery, a steadily increasing number of procedures, more or less invasive, are performed in different environmental settings. These include endocopic procedures, stenting of vessels, digestive, biliary and tracheal tracts stenting, vertebroplasty, brachytherapy, percutaneous radiofre-quency treatment of hepatocarcinoma and others. The number of these in-hospital procedures is, indeed, likely to increase in the next years because of new advances in technology and radiologic imaging. Anaesthesia, or at least sedation, is mandatory for the most painful of these procedures. In addition, more and more patients and physicians ask for anaesthesia during less painful procedures such as digestive tract endoscopy or plastic surgery, the last one being commonly office-based. Eventually, anaesthetists themselves have promoted the practice of anaesthesia not only outside the operating room, but also at home for treatment of pain. This practice refers to continuous peripheral blocks at home or the use of equimolecular mixture of oxygen and nitrous oxide (EMONO) for nursing care.
机译：由于外科手术的替代方法的发展，在不同的环境条件下执行的手术数量或多或少是侵入性的，并且数量稳定增长。这些措施包括内窥镜检查，血管支架置入，消化道，胆道和气管支架置入，椎体成形术，近距离放射治疗，肝癌的经皮放射治疗等。实际上，由于技术和放射影像学的新进展，这些住院手术的数量在未来几年中确实会增加。对于这些过程中最痛苦的过程，必须进行麻醉或至少使用镇静剂。另外，越来越多的患者和医生在诸如消化道内窥镜检查或整形外科之类的痛苦较小的手术过程中要求麻醉，最后一个通常以办公室为基础。最终，麻醉师们自己不仅在手术室之外，而且在家中也促进了麻醉的治疗。这种做法是指在家中连续性的周围障碍，或使用氧气和一氧化二氮的等分子混合物（EMONO）进行护理。

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