Epidural anesthesia in elderly patients application of laparoscopic cholecystectomy.docVIP

 PAGE \* MERGEFORMAT 14 Epidural anesthesia in elderly patients application of laparoscopic cholecystectomy [Abstract] Objective epidural anesthesia for laparoscopic gallbladder surgery in elderly patients. Methods ASA - grade 60 to 94 years 120 patients with gallbladder surgery, general anesthesia were divided into groups (Q group, n = 60 ), and epidural anesthesia group (Y group, n = 60). Monitoring SBP, DBP, HR, PETCO2, SpO2, airway pressure, hemodynamic parameters, intraoperative vasoactive drugs used in the number of cases and the anesthetic dose. result Y group induction of anesthesia, intubation, skin incision, tracheal extubation when the SBP, DBP, HR lower than the Q group, hemodynamic stability, the use of anesthetics is less than Q group. Conclusion Epidural different degrees of block can inhibit the stress response induced anesthesia, epidural anesthesia in elderly patients the application of laparoscopic gallbladder surgery is safe, feasible and beneficial. [Keywords:] epidural block; elderly patients; laparoscopic cholecystectomy; hemodynamics Abstract Objective To discuss the application of combined general-epidural-anesthesia in laparoscopic cholecystectomy of senile patients.Methods 120 senile cases to be operated on of gallbladder at the age from 60 to 94 years old, whose ASA degrees were from Degree I to Degree II , were divided into 2 groups: Group Q (general anesthesia) and Group Y (combined general-epidural-anesthesia), 60 in each; SBP, DBP HR, PETCO2, SpO2 and airway pressure were monitored, the hemodynamic parameters, the case number with vasoactive drug administration in operation and anesthetic dosage were recorded.Result SBP, DBP and HR of the patients in Group Y with hemodynamic stability at the time of anesthesia induction, tracheal intubation, skin incision and tracheal catheter removing were lower than those of the patients in Group Q, and their anesthetic dosage was smaller than that in Group Q. Conclusions Epidural bl