期刊论文

中文

临床麻醉学杂志

1004-5805

2011

27

4

346-348

本校为其他机构

目的观察超声雾化吸人2％利多卡因气道表面麻醉用于经鼻纤维支气管镜(FOB)辅助清醒气管插管的临床效果。方法择期颈椎手术患者42例，随机均分为两组，分别采用超声雾化吸入2％利多卡因行呼吸道表面麻醉(工组)和1％丁卡因鼻拭子鼻腔表面麻醉，环甲膜穿刺及喉上神经阻滞的联合局部麻醉(Ⅱ组)。记录插管的时间(FNIT)，入室后5 min(基础值，T_1)、气管导管过鼻腔(T_2)、FOB过咽喉(T_3)、FOB过声门进气管确认气管隆突位置(T_4)、气管导管进入气管(T_5)时患者的反应及血流动力学的变化；记录工组患者局部麻醉药物的用量及两组患者局部麻醉药的不良反应；术后第1天随访患者对两种方法的评价。结果与T_1...

Objective To evaluate the effects of ultrasonic nebulization with 2% lidocaine for topical anesthesia in awake fiberoptic nasotracheal intubation. Methods Forty-two patients undergoing elective cervical operation were equally randomized into two groups： group Ⅰ and group Ⅱ. In group Ⅰ , nebulized 2% lidocaine with ultrasonic nebulizer was used for topical anesthesia; In group Ⅱ , superior laryngeal nerves were blocked and cricothyroid membrane injection was adopted after being applied cotton swab-stick with 1% tetrocaine to the selected no...