在ORL内窥镜组中,瑞芬太尼镇痛镇静激光消融舌大血管瘤。

IF 1.3
Joshua H Atkins, Jeff E Mandel, Natasha Mirza
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引用次数: 14

摘要

我们提出了一个独特的,实用的,安全的方法来临床管理一个年轻的男性与一个大的舌血管瘤谁提出了一系列的手术治疗病变。激光消融手术在表面麻醉下使用瑞芬太尼镇痛镇静,不使用补充氧气。在患者清醒、配合并能够保护气道的情况下,血管瘤明显消退,无并发症。本文介绍了瑞芬太尼输注在气道手术中镇痛镇静的应用。在这些应用中,药代动力学建模的效用与使用无创呼吸感应容积描记术来监测阿片类药物镇静期间的通气一起被讨论。介绍了用于气道手术的麻醉镇静的概念,并讨论了与全身麻醉相比,该方法的相对风险与收益考虑。这种方法可以被认为是用于有限气道手术的ORL内窥镜套件模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laser ablation of a large tongue hemangioma with remifentanil analgosedation in the ORL endoscopy suite.

We present a unique, practical, and safe approach to the clinical management of a young male with a large tongue hemangioma who presented for serial surgical treatment of the lesion. Laser ablation was undertaken in the operating room under topical anesthesia with remifentanil analgosedation without the use of supplemental oxygen. Significant involution of the hemangioma was achieved without complication while the patient was awake, cooperative, and able to protect his airway. The application of remifentanil infusion for analgosedation during airway surgery is described. The utility of pharmacokinetic modeling in these applications is discussed along with the use of non-invasive respiratory inductance plethysmography to monitor ventilation during opioid sedation. The concept of analgosedation for airway surgery is introduced and relative risk versus benefit considerations of the approach in comparison to general anesthesia are discussed. This approach can be conceived of as an ORL endoscopy suite model for limited airway procedures.

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