摘要
肌肉松弛是临床麻醉的三大要素之一。中度肌松(mNMB)可满足常规手术需求,深度肌松(dNMB)能为精细复杂手术的视野绝对静止提供保障。随着微创外科的发展,精细操作技术的提高,以及传染性疾病中气道管理安全性需求的增加,dNMB的临床应用范围有所扩展。本文就dNMB的临床应用及其并发症预防等方面进行综述。
Muscle relaxation is one of the major three elements of clinical anesthesia.Moderate neuromuscular blockade(mNMB)is able to meet the needs of routine surgical procedure,while deep neuromuscular blockade(dNMB)could provide better surgical operation conditions.With the progression of minimally invasive surgery and delicate operation,and with the increasing demand of the safety of airway management Infectious disease,dNMB’s scope of utilization has been broadened.This paper summarizes the research development of dNMB in Clinical,and prevention of potential complications.
作者
李佳新
丁林
董彦杰(综述)
李茜(审校)
LI Jiaxin;DING Lin;DONG Yanjie;LI Qian(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 614001,China)
出处
《西部医学》
2022年第5期770-774,共5页
Medical Journal of West China
基金
国家重点研发计划项目(2018YFC2001802-2)。
关键词
深度肌松
腹腔镜
喉显微手术
脊柱手术
脑动脉瘤
术后肌松残余
Deep neuromuscular block
Laparoscopy
Laryngeal microsurgery
Spinal surgery
Cerebral aneurysm
postoperative residual curarization
