‘Two cautionary tales’
‘Two cautionary tales’
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“两个警示故事”
DOI：
10.1111/j.1365-2044.1994.tb03408.x
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发表时间：
1994
期刊：
影响因子：
10.7
通讯作者：
W. Ryder
中科院分区：
文献类型：
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作者：
W. Ryder
信函“报告意识的后续行动”(麻醉学1993；48：927)令人感兴趣，因为它报告了一个病人据称意识清醒的病例，病人的肺部用1%异氟醚和65%一氧化二氮进行了通风。对这类案件的调查当然应该针对确定患者回忆的对话是否确实发生在手术过程中。谈话的内容，特别是他们是否与病人或她的病情有关，可能很重要，就像手术的性质一样。如果对话被正确地回忆起来，下一步应该是验证患者的肺部是否真的持续使用所述成分的混合气体进行通风。如果可以证明，即使在使用总MAC约为150%的麻醉性气体混合物的情况下，也可以发生召回，那么这对常规临床实践有相当大的影响。
The letter ‘Follow-up of reported awareness’ (Anaesthesia 1993; 48: 927) is of interest because it reports a case of alleged awareness in a patient whose lungs were ventilated with 1% isoflurane in 65% nitrous oxide. Investigation of such a case should surely be directed towards establishing whether the conversations the patient recalled really did take place during the course of the operation. The content of the conversation, particularly whether they were related to the patient or her condition, may be of importance as is the nature of the operation. If the conversation was correctly recalled the next step should be to verify that the patient’s lungs really were ventilated continuously with a gas mixture of the composition stated. If it can be shown that recall can take place even during ventilation with an anaesthetic gas mixture having a total MAC of about 150% then this has considerable implications for routine clinical practice.