Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 尹怀信教授 (耳鼻咽喉-头颈外科学系) |
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| 没有全文档案提供 |
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Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/4Scopus source URL
其它资讯
摘要We evaluated a modified technique of administering anesthesia without a tube and with spontaneous respiration during video-assisted tele-laryngo-tracheo-broncho-endoscopy (TLTBE). The endoscopy was performed as an alternative to rigid ventilatory bronchoscopy during screening for synchronous tumors in the tracheobronchial tree in patients who had head and neck malignancies. Thirty consecutive patients who required diagnostic panendoscopy were selected for this study. During directsuspension laryngoscopy, anesthesia was delivered by administering intravenous bolus injections of propofol at 0.5 to 2 mg/kg every 5 to 10 minutes. A good view of the larynx, trachea, and main bronchi was obtained wfth a 50-cm 0° Hopkins telescope, which caused no obstruction of the airway. During laryngoscopy, arterial oxygen saturation levels, pulse rates, and blood pressures were stable in all patients. No apnea was associated with the use ofpropofol during any procedure, andwe observedno intraoperative or postoperative complication in any patient. Video-assisted TLTBE is appropriate for patients with a grade 1 or 2 larynx, good cardiopulmonary function, and no significant airway obstruction. It is a safe and time-saving alternative to rigid ventilatory bronchoscopy for staging primary tumors and for screening for synchronous tumors in the respiratory tract.
着者Ku P.K.M., Tong M.C.F., Kwan A., Van Hasselt C.A.
期刊名称Ear Nose and Throat Journal
出版年份2003
月份2
日期1
卷号82
期次2
出版社Medquest Communications
出版地United States
页次121 - 125
国际标準期刊号01http://aims.cuhk.edu.hk/converis/portal/Publication/45-5613
电子国际标準期刊号19http://aims.cuhk.edu.hk/converis/portal/Publication/42-7522
语言英式英语
