全凭静脉非气管插管全身麻醉在临床麻醉中的研究进展

Advances in the Study of General Anaesthesia in Clinical Anaesthesia with To-tal Intravenous Non-Tracheal Intubation

全凭静脉非气管插管全身麻醉是一种不进行气管插管,用麻醉药物使患者的意识消失,但保留自主呼吸,患者对手术刺激应激的反应减弱或消失的一种麻醉方式。随着麻醉技术和手术风险管理水平的提高以及ERAS理念的推广,使得该麻醉方法应用在部分手术领域应用日益广泛。该麻醉方式既保留自主呼吸,与控制呼吸的气管插管全身麻醉相比,难度更高,对麻醉医生来说是一个巨大的挑战。但此方法使患者更舒适无记忆的同时,又能使创伤应激反应最小,恢复快。本文通过对近年来的相关研究进行收集分析,现将其综述如下。

General anesthesia with intravenous non-intubated anesthesia is a type of anesthesia in which the patient’s consciousness is lost with anesthetic drugs without tracheal intubation, but spontaneous breathing is preserved and the patient’s response to surgical stimulus stress is diminished or elim-inated. With the improvement of anesthesia techniques and surgical risk management and the promotion of ERAS concept, the application of this anesthesia method is increasingly used in some surgical fields. This type of anesthesia, which preserves voluntary breathing, is more difficult than general anesthesia with controlled breathing by tracheal intubation, and is a great challenge for anesthesiologists. However, this method makes patients more comfortable and memory-free while minimizing traumatic stress reactions and fast recovery. In this paper, we have collected and ana-lyzed the relevant studies in recent years, and now we review them as follows.