Endoscopic thyroidectomy Anesthesia.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic thyroidectomy Anesthesia [Keywords:] thyroid Endoscopic thyroid surgery wound due to the small, subtle, quick recovery, good cosmetic results, in line with the psychological needs of patients by clinicians and patients the attention, but the operative site and surgical procedure because of its specificity, also raised on the anesthetic special requirements. now from August 2005 to December 2006 35 cases reported of such information as surgical anesthesia. 1 Materials and Methods 1.1 Clinical data elective endoscopic thyroid surgery, 35 patients, ASA 1 ~ 2 level, 19 males and 16 females, aged 19 to 52 years old, weighing 45 ~ 60 kg, mood, lung, liver, kidney, high blood pressure, history of hyperthyroidism. 1.2 All the patients were selected anesthesia endotracheal general anesthesia. Preoperative 30min atropine 0.5mg and 2.5mg midazolam intramuscularly. Midazolam induction of anesthesia to 0.05mg/kg, fentanyl 4 ~ 6g/kg, propofol 2 ~ 2.5mg/kg, 0.1mg/kg vecuronium and other intravenous, after complete muscle relaxation, endotracheal intubation, mechanical ventilation anesthesia machine access, respiratory rate 12 times / min, I: E = 1: 2, tidal volume 8mL/kg. Anesthesia was maintained: propofol 4 ~ 12mg / (kg h), interval 50 ~ 60min fentanyl 1 ~ 2g/kg, vecuronium every 40 ~ 50min to give 4mg. CO2 inflatable surgery, only when the PetCO2 higher than 50mmHg change in respiratory parameters when [1], high ventilation obtained by increasing respiratory rate, tidal volume remained unchanged. Monitor to monitor and inflation were recorded before and after the 15 inflatable , 30,60,120 min of the systolic pressure (SP), diastolic blood pressure (DP), heart rate (HR), pulse oxygen saturation (SPO2), call the end of carbon dioxide partial pressure (PetCO2) and the resulting blood gas analysis pH, carbon dioxide partial pressure (PaCO2), BE values. 1.3 SPSS10.0 software used statistical methods to analyze data, measureme