摘要
目的探讨丙泊酚靶控输注(TCI)在心脏手术中实施快通道麻醉技术的可行性。方法选择30例6～45岁ASAⅡ～Ⅲ级择期心脏手术患者,麻醉诱导采用TCI模式,维持脑电双频指数(BIS)在45～55,术中根据血流动力学变化和BIS值适当追加芬太尼和维库溴铵,观察并记录BIS值、血流动力学变化、血管活性药使用情况、清醒拔管时间、ICU停留时间。结果目标BIS麻醉诱导丙泊酚浓度为1.8μg/ml,术中维持2.0～2.5μg/ml,术中血流动力学稳定,术后可较快((3小时)清醒拔管,ICU停留时间较短((18小时)。结论丙泊酚TCI可以安全有效地用于心脏手术时实施快通道麻醉技术。
Objective To investigate the feasibility of Propofol target controlled infusion（TCI）for fast-track anesthesia on patients undergoing heart surgery. Methods Thirty patients scheduled for heart surgery from 6 to 45 years old, with physical state in grade II- III, were chosen for the investigation. Propofol TCI was administered for anesthesia induction. The bispectral index（BIS） value was ranged from 45 to 50. Fentanyl and Vecuronium Bromide were added according to the change of hemodynamics and BIS value during operation. The BIS value, change of hemodynamics, usage of vasoactive drug, extubation time and ICU stay time were observed and recorded. Results The concentration of Propofol was 1.8 μg/ml. It was maintained in 2 - 2. 5μg/ml during surgical procedure. Stability of hemodynamics was recorded. The extubation time （ 〈 3 hours ） and ICU stay time （ 〈18 hours）were observed simultaneously. Conclusions Propofol TCI is safe for fast-track anesthesia on patients undergoing heart operation.
出处
《实用医院临床杂志》
2010年第3期35-36,共2页
Practical Journal of Clinical Medicine
关键词
心脏手术
丙泊酚
靶控输注
脑电双频指数
麻醉
Heart surgery
Propofol
Target controlled infusion（ TCI）
Bispectral index（ BIS）
Anaesthesia
