AWARENESS DURING OPERATIVE OBSTETRICS UNDER GENERAL ANAESTHESIA
AWARENESS DURING OPERATIVE OBSTETRICS UNDER GENERAL ANAESTHESIA
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DOI：
10.1093/bja/43.2.179
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发表时间：
1971-01-01
影响因子：
9.8
通讯作者：
CRAWFORD, JS
中科院分区：
文献类型：
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作者：
CRAWFORD, JS
两种麻醉技术进行了比较。第一组（对照组）包括术前用药东莨菪碱0.6毫克，诱导用硫喷妥钠250毫克和琥珀胆碱100毫克，并维持与氧气（使用Howells呼吸机）和琥珀胆碱输注67%的一氧化二氮。在研究组中，在婴儿通过选择性或急诊科或阴道分娩后，或在整个产后绝育手术期间，使用完全相同的技术，添加甲氧氟烷（0.1%）。注意力集中在手术期间的意识和做梦的发生率上。已经证明，以所述方式将甲氧氟烷引入标准技术中，可显著降低意识发生率，并显著降低不愉快梦境的发生率。一些这种修改的影响进行了讨论。
Two techniques of anaesthesia have been compared. The first (control group) consisting of premedication with hyoscine 0.6 mg, induction with thiopentone 250 mg and suxamethonium 100 mg, and maintenance with 67 per cent nitrous oxide with oxygen (using a Howells ventilator) and a suxamethonium infusion. In the study group exactly the same technique was used with the addition of methoxyflurane (0.1 per cent) after delivery of the infant by elective or emergency section or vaginally, or throughout the operation of postpartum sterilization. Attention has been focused on the incidence of awareness and dreaming during operation. It has been demonstrated that the introduction of methoxyflurane into the standard technique, in the manner described, results in a marked reduction in the incidence of awareness and a marked and significant reduction in the incidence of unpleasant dreams. Some of the implications of this modification are discussed.