6% hydroxyethyl starch to prevent elderly patients with lumbar epidural anesthesiaEffect of hypotension.docVIP

 PAGE \* MERGEFORMAT 9 6% hydroxyethyl starch to prevent elderly patients with lumbar epidural anesthesiaEffect of hypotension [Keywords:] 6% hydroxyethyl starch; lumbar epidural anesthesia; hypotension With the arrival of an aging population, clinical anesthesia year increase in the proportion of elderly patients. Lumbar epidural anesthesia with rapid onset of analgesia improve muscle relaxation, anesthesia plane easier to control and interfere with respiration and circulation is relatively small, less complications [1], widely used in clinical practice elderly patients. The induction of anesthesia-induced hypotension caused by peripheral expansion is an important complication in elderly patients, which should be attached great importance to the anesthesiologist. We compared the different plasma substitutes and liquid crystal induction of anesthesia, the lumbar epidural infusion of the line pre-expansion effect and the preventive effect of low blood pressure, are as follows. 1 Subjects and methods 1.1 disease cases Scheduled for lower extremity long bone fractures such as femoral head replacement, femoral fixation, tibial fixation in elderly 60 patients, ASA ~ grade, 26 males and 34 females, aged 65 to 95 years old, were randomly divided 6% hydroxyethyl starch (130/0.4) group (H group, n = 20), succinylated gelatin group (G group, n = 20) and compound sodium lactate group (control group, R group, n = 20). with one of the following conditions were excluded from the study: preoperative hematocrit (Hct) lt;30%; hemoglobin (Hb) lt;100 g / L; significant heart, liver, kidney damage; coagulopathy; on hydroxyethyl starch and succinylated gelatin allergy; lumbar epidural anesthesia failure, blood lossgt; 500 ml were. 1.2 Methods Preoperative routine forbidden to drink, fasting, half an hour before surgery intramuscular phenobarbital 0.1 g, atropine 0.5 mg, mean arterial blood pressure after burglary (MBP), heart rate (HR), arterial oxygen satura