Elderly patients with cardiovascular surgery fast-track anesthesia.docVIP

 PAGE \* MERGEFORMAT 3 Elderly patients with cardiovascular surgery fast-track anesthesia [Abstract] Objective: To evaluate the elderly patients with fast-track anesthetic techniques OK cardiovascular surgery is feasible. Methods: 73 patients, with midazolam, etomidate, propofol, vecuronium and fentanyl anesthesia induction, continuous infusion of propofol and isoflurane inhalation anesthesia maintenance, routine postoperative analgesia, as soon as possible extubation. Results: The average dosage of fentanyl (13.2 ± 1.6) μ g / kg, propofol dosage (550 ± 25) mg, the average anesthesia time (232 ± 26) min, CPB time (109 ± 38) min, aortic clamp time (75 ± 29) min. Completion of the operation two cases of tracheal extubation, ICU 6 h in 48 cases of tracheal extubation, with an average extubation time (243 ± 30) min, patients were successfully restored. ICU stay (2.7 ± 1.6) d, postoperative hospital stay (10.1 ± 4.9) d. Conclusion: The elderly patients can also be safe use of fast-track anesthesia OK cardiovascular surgery, early postoperative extubation and early activities can speed up the physical rehabilitation, saving hospitalization costs. [Keywords:] age; cardiovascular surgery; fast-track anesthesia All major organ function in elderly patients have decreased in varying degrees, but also more complicated with preoperative hypertension, diabetes, chronic obstructive pulmonary disease (COPD) and so on, a reduced ability to surgical stress, in particular the line of cardiovascular and other major surgery high risk and high cost. In recent years, with the ‘fast-track cardiac anesthesia’ (fast tracking cardiac anesthesia) technology to carry out, by adjusting the type and dose of narcotic medication, you can in the heart within 6 h after surgery (or 4 ~ 8 h of [1]) extubation catheter reached to shorten the retention time of ICU patients, improve the prognosis of patients and reduce medical costs purposes. In our hospital since 2004, using fast-track