摘要
由于大部分眼科手术在局部麻醉(球后阻滞或者表面麻醉)下完成,麻醉操作由手术医师兼顾,从而导致眼科麻醉经验不够,影响了眼科麻醉的质量与效率。笔者认为,做好眼科麻醉需要帮助患者做好术前准备,充分利用声门上通气技术和清醒镇静技术,完善B超引导的眼部区域阻滞技术,加强与眼科手术医师的合作交流,从而满足眼科手术患者对舒适化的麻醉要求及适应日间手术的发展趋势。
The reality that most of ophthalmic surgeries are conducted under retrobulbar block or topic anesthesia performed by the ophthalmic surgeons themselves may affect the balance between quality and efficiency of ophthalmic anesthesia.The authors suggest that the key principle to perform ophthalmic anesthesia is to help the patients be well prepared preoperatively.In order to achieve this goal,we should make full use of the supraglottic airway device and awake sedation,improve ultrasound-guided regional block technique,strengthen cooperation with ophthalmic surgeons,thereby meeting the comfortable anesthesia requirements of ophthalmic surgery patients and adapting for the development trend of day surgery.
作者
甘小亮
王古岩
Gan Xiaoliang;Wang Guyan(Department of Anesthesiology,State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China;Department of Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2022年第21期1564-1567,共4页
National Medical Journal of China
关键词
麻醉
眼科学
清醒镇静
球后阻滞
Anesthesia
Ophthalmology
Awake sedation
Retrobulbar block
