Epidural anesthesia for lower abdominal laparoscopic surgery Anesthesia.docVIP

 PAGE \* MERGEFORMAT 8 Epidural anesthesia for lower abdominal laparoscopic surgery Anesthesia Of: Meng Guangzhou Peng Lvshun Hua Qin Zhen Yao Shuping in Since 1987, Phillipe Mouret reported the first case of laparoscopic cholecystectomy (Laparoscopic cholecystectomy, LPC has laparoscopic surgery because of trauma, safety, shorter postoperative recovery, shorter hospital stay, postoperative pain, less time, etc., have been in clinical extensively, and has spread to the grass-roots hospitals. because of intraoperative CO2 pneumoperitoneum on respiratory, circulatory and other physiological functions of interference was therefore a higher narcotic requirements. This article reports carried out by epidural anesthesia in the lower abdomen abdominal surgery patients with hemodynamic changes, and security. 1 Materials and Methods 1.1 Clinical data The group of 80 patients, 27 males and 53 females, aged 21-51 years old, weighing 48-78kg, ASA grade - grade, no heart and lung diseases. Among them, 24 cases of acute appendicitis, 18 cases of ovarian cysts, ectopic pregnancy 22 cases, 5 cases of uterine myoma, 11 cases of varicocele. 1.2 Anesthesia and Monitoring Preoperative intramuscular injection of 0.1 sodium luminal, atropine 0.5mg, into the operating room, the open upper extremity venous infusion of Ringer’s solution 300-500ml, normal oxygen, testing NIBP, ECG, SPO2. Patient was left supine, the L3-4 epidural space, the use of needle puncture needle within the arachnoid, cerebral fluid outflow to be 1.19% after the injection of ropivacaine mesylate 2ml, epidural catheter 3 - 5cm, regulation of anesthesia to fixed T4/T6-S. If you can not achieve the expected spinal anesthesia level, the epidural 1.75% carbonated lidocaine 3-5ml test showed no abnormalities, the injection of 0.25% hydrochloric acid +1.2% carbonated lidocaine with bupivacaine, measured to reach the expected value of the plane. intraoperative conventional mask to O2, so t