摘要
支气管镜检查是一种有创的检查方式,早期检查的麻醉方式主要以局部麻醉为主。但因较多诊疗项目的操作时间长、对患者损伤刺激大、风险高等因素,单纯的局部麻醉已不能满足需求。随着舒适化医疗概念的普及,对无痛支气管镜技术的需求日益增加。检查过程中应综合考虑患者的基础情况、经济负担及全国麻醉医师短缺等问题,为患者应制订个体化麻醉方案。选择局部麻醉、局部麻醉联合静脉镇静镇痛技术或全身麻醉等合适的麻醉方式,苯二氮卓类、阿片类、丙泊酚、右美托咪定等合适的麻醉用药,可降低不良事件的发生。
Bronchoscopy is an invasive examination procedure,and early examinations were primarily conducted under local anesthesia.However,due to factors such as long operation time,significant patient discomfort,and associated risks,local anesthesia alone is inadequate.With the increasing popularity of the concept of patient comfort in medical treatment,the demand for painless bronchoscopy techniques is growing.In the process of examination,it is essential to consider the baseline condition of patients,financial constraints,and the shortage of anesthesiologists nationwide,in order to develop personalized anesthesia strategies for patients.Appropriate anesthesia methods such as local anesthesia,local anesthesia combined with intravenous sedation and analgesia techniques,or general anesthesia,as well as suitable anesthetic drugs such as benzodiazepines,opioids,propofol,and dexmedetomidine,can greatly reduce the occurrence of adverse events.
作者
张敏(综述)
黄志文(审校)
ZHANG Min;HUANG Zhiwen(Department of Respiratory and Critical Care Medicine,Affiliated Renhe Hospital of China Three Gorges University,Yichang Hubei 443001,China)
出处
《临床与病理杂志》
CAS
2023年第8期1589-1595,共7页
Journal of Clinical and Pathological Research
基金
三峡大学开放办学教育教学研究(KJ2018048)
三峡大学高教研究(GJ2213)。
关键词
支气管镜
麻醉方式
镇静
镇痛
无痛
bronchoscope
method of anesthesia
sedation
analgesia
painless
