Epidural block combined with general anesthesia in thoracic surgery.docVIP

 PAGE \* MERGEFORMAT 5 Epidural block combined with general anesthesia in thoracic surgery [Abstract] Objective To discuss the more suitable method of anesthesia in thoracic surgery. Methods 66 patients with thoracic surgery, 33 patients were randomly divided into two groups, A group for the epidural block combined with general anesthesia, B group, general anesthesia alone. Observation two groups of patients undergoing anesthesia condition of the circulatory system. Results A group of intraoperative MAP, HR downward trend, B intraoperative MAP, HR tend to rise. A significant improvement in electrocardiogram, B group tended to increase. Conclusion Epidural block combined with general anesthesia for thoracic surgery. [Keywords:] epidural, general anesthesia, thoracic surgery With the old thoracic surgery patients with cardiovascular disease increased, often with hypertension and preoperative arrhythmia. This study compared general anesthesia and epidural anesthesia alone in thoracic surgical procedures used in the cycle changes and changes in arrhythmia research which method is more suitable for thoracic anesthesia. 1 Materials and Methods 1.1 General Information Select Fuqing City Hospital ASA Ⅱ ~ Ⅲ grade 66 cases of thoracic surgery, 34 males and 32 females, aged 19 to 72 years. All the patients were randomly divided into two groups, all 33 cases, A group for the epidural block combined with general anesthesia, B group, general anesthesia alone. 1.2 General anesthesia medication before anesthesia. A group of puncture by the T4 ~ 5 after the success of supine, compound sodium lactate infusion, the epidural catheter injection of local anesthetic lidocaine 0.25%, 5 ml, 20 min after the midazolam given 5 mg, fentanyl 0.2 mg, propofol 100 mg, succinylcholine 100 mg intravenous induction and tracheal intubation, maintenance anesthesia with isoflurane, fentanyl, vecuronium discretionary intravenous injection, each operation 1 h after injection of 0.2