Endovascular aneurysm of Anesthesia.docVIP

 PAGE \* MERGEFORMAT 8 Endovascular aneurysm of Anesthesia [Abstract] Objective To study aortic dissection DeBakey type endovascular method of anesthesia and management points. Methods 13 cases were treated by DeBakey aortic dissection during endovascular aneurysm, 3 cases of local anesthesia, 5 patients using local anesthesia and intravenous anesthesia, five cases of intravenous anesthesia with tracheal intubation, intraoperative controlled hypotension with sodium nitroprusside, if necessary, combined use of esmolol or nicardipine. The results of intraoperative anesthesia smoothly and without controlling blood pressure caused by complications of surgery patients were safe return to the ward or ICU care treatment. Conclusions appropriate method of anesthesia and intraoperative hemodynamic stability is maintained in patients with endovascular aneurysm smooth the key. [Keywords:] dissection aneurysm stent graft anesthesia Aortic aneurysm is a dangerous disease, often require urgent treatment. Past through the traditional open heart / open surgery for treatment of their higher risk, more complications. In recent years, placed through the stent graft to the femoral artery line Endovascular aortic surgery, the technology with less trauma and faster recovery, lower complications and mortality benefits [1]. Since 2005, I worked 13 cases of femoral artery stent implantation for dissection anesthesia in patients with tumors, the final report is as follows. 1 Materials and Methods 1.1 General information on this group of patients 11 males and 2 females, age (42.63 + -10.59 years of age, body weight (76.25 + -16.18) kg.13 patients had history of hypertension before surgery, of which 4 cases of coronary heart disease, 2 cases with diabetes. operative time (116.88 +-34.84min. All cases were confirmed by CT, MRI or DSA confirmed dissection DeBakey type, general condition and local anatomical characteristics suitable for endovascular stent by, upper and lower