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首页> 外文期刊>Current opinion in anaesthesiology >Total intravenous anaesthesia techniques for ambulatory surgery.
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Total intravenous anaesthesia techniques for ambulatory surgery.

机译：门诊手术的全静脉麻醉技术。

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PURPOSE OF REVIEW: The purpose of the present review is to provide an updated discussion on the use of total intravenous anaesthesia (TIVA) for ambulatory surgery, based on results from recent studies put into the context of issues already known. RECENT FINDINGS: The current use of TIVA for ambulatory surgery seems to be abundant. It is encouraged by the simplicity of the method, increased experience and declining costs with the propofol and remifentanil combination. The TIVA methods are well tolerated and perceived to give good quality patient care; with rapid, clear-headed emergence and low incidence of postoperative nausea and vomiting. Cost-efficacy and other benefits of recovery from TIVA versus alternative techniques of anaesthesia seem to depend more on the patient and the individual perioperative setting than on the TIVA concept per se. Further development of TIVA will include the refinement of target control systems, the introduction of new drugs and adjuvants and advanced equipment for automatic drug delivery, as well as improved effect monitoring. SUMMARY: TIVA is well tolerated and simple. It is associated with less postoperative nausea and vomiting than inhalational anaesthesia and has no residual paralyses as are possible with locoregional techniques. Propofol with remifentanil seems to be the dominating TIVA technique, delivered either by conventional pumps or by target control systems.
机译：审查的目的：本次审查的目的是根据对已知问题进行的最新研究结果，就动态静脉全麻醉（TIVA）用于门诊手术提供最新的讨论。最近的发现：目前，TIVA在门诊手术中的使用似乎很丰富。丙泊酚和瑞芬太尼组合使用该方法的简便性，增加的经验并降低了成本，这使它受到鼓舞。 TIVA方法具有良好的耐受性，可以提供优质的患者护理。具有快速，头脑清醒的出现，术后恶心和呕吐的发生率低。与其他麻醉技术相比，从TIVA中恢复的成本效益和其他好处似乎更多地取决于患者和围手术期的情况，而不是TIVA概念本身。 TIVA的进一步发展将包括目标控制系统的完善，新药和佐剂的引入以及用于自动药物输送的先进设备以及效果监测的改善。简介：TIVA具有良好的耐受性和简单性。与吸入麻醉相比，它与术后恶心和呕吐的发生有关，并且没有局域性技术可能造成的残留麻痹。丙泊酚和瑞芬太尼似乎是主要的TIVA技术，通过常规泵或目标控制系统提供。

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