• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Current opinion in anaesthesiology >Intravenous anesthesia for thoracic procedures.
【24h】

Intravenous anesthesia for thoracic procedures.

机译：胸腔静脉麻醉。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE OF REVIEW: The article reviews the rationale for using intravenous anesthesia for thoracic operations, the drugs and equipment required, and the methodology involved. RECENT FINDINGS: Recent studies examining whether total intravenous anesthesia offers a physiological advantage over inhalational anesthesia for thoracic surgery remain inconclusive. Nevertheless, total intravenous anesthesia is preferable for certain thoracic procedures incompatible with effective delivery of inhalational anesthetics. Additionally, total intravenous anesthesia offers advantages in procedures conducted in nonideal environments, such as offsite or austere scenarios. SUMMARY: Total intravenous anesthesia is indicated for procedures in which inhalational anesthetics may not be safely or effectively delivered, including endobronchial procedures using flexible or rigid bronchoscopy and proximal airway-disrupting surgeries. Total intravenous anesthesia may be beneficial in lung volume reduction surgery, lung transplantation and thymectomy. Total intravenous anesthesia is safer and more practical for thoracic procedures performed outside of the operating room, such as offsite locations, military field or impoverished areas of the world. Propofol, dexmedetomidine, ketamine and remifentanil may be used in combination with anesthetic depth monitoring to execute an effective total intravenous anesthesia regimen. Target-controlled infusion may improve the delivery of total intravenous anesthesia and is a focus for future research. This article reviews the balanced total intravenous anesthesia technique currently used at the University of Texas M.D. Anderson Cancer Center.
机译：审查目的：本文回顾了在胸腔手术中使用静脉麻醉的基本原理，所需的药物和设备以及所涉及的方法。最近的发现：最近的研究尚无定论，全胸腔静脉麻醉是否比吸入麻醉具有更好的生理优势尚无定论。然而，对于某些与吸入麻醉药的有效递送不兼容的胸腔手术，全静脉麻醉是优选的。此外，全静脉麻醉在非理想环境（例如异地或严峻的情况）下进行的手术中具有优势。简介：对于不能安全或有效输送吸入麻醉剂的手术，应采用全静脉麻醉，包括使用柔性或刚性支气管镜检查和近端气道中断手术进行的支气管内手术。全静脉麻醉可能对减少肺体积，肺移植和胸腺切除术有益。对于在手术室外（例如异地，军事领域或世界贫困地区）进行的胸腔手术，完全静脉内麻醉更为安全，实用。异丙酚，右美托咪定，氯胺酮和瑞芬太尼可与麻醉深度监测结合使用，以执行有效的全静脉麻醉方案。目标控制输注可能会改善整体静脉麻醉的传递，是未来研究的重点。本文介绍了德克萨斯大学安德森分校癌症中心目前使用的平衡全静脉麻醉技术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号