五官科手术麻醉气道与循环管理的核心技术

The core techniques of airway and circulation management in eye and ear-nose-throat anesthesia

随着麻醉技术、设备以及研究领域的不断更新,五官科手术麻醉的技术与理念也在不断地优化发展。五官科手术麻醉有其独特的技术特点及难题,本文结合国内外相关文献及自身经验,对五官科手术麻醉中的常见问题如困难气道的处理、共用气道的通气维持、气道高反应的预防及处理、控制性降压的进展等进行分析和探讨,对各类技术的优缺点进行总结和评价。

With the continuous update of anesthesia techniques,equipment and research field,the techniques and concepts of anesthesia in eye and ear-nose-throat(ENT)surgery are constantly optimized and developed.Eye and ENT anesthesia has its unique technical characteristics and problems.By reviewing related literature extensively and combining with our experience,this article analyzed and discussed the challenges of ENT anesthesia,such as difficult airway,airway hyperactivity,controlled hypotension and so on,as well as summarizing and evaluating the advantages and disadvantages of the techniques applied in ENT anesthesia.