Hypotension in neurosurgery microscopic surgery.docVIP

 PAGE \* MERGEFORMAT 12 Hypotension in neurosurgery microscopic surgery Of: Pangde Chun, Liaozhen Nan, Zhang Song, Zhang Jiyuan [Abstract] Objective To observe hypotension in microsurgery in neurosurgery. Methods 60 patients with ASA ~ grade neurosurgery elective surgery were divided into A, B groups were static with endotracheal intubation, inhalation combined general anesthesia, A group of 30 cases of hypotension group, B group of 30 patients as a control group, the application of nitroglycerin and phentolamine combined application of isoflurane anesthesia for induced hypotension to maintain mean arterial pressure (MAP at 6.67 ~ 7.89 kPa between. surgical results were compared. The results compared with the B group, A group, the average operation time, blood loss, intensive care unit (ICU monitoring time was significantly reduced (P lt;0.05 or lt;0.01), jugular venous oxygen saturation (SjvO2 no significant change in blood pressure during the period (Pgt; 0.05, within normal range, no occurrence of cerebral ischemia and hypoxia. Conclusion hypotension application of microsurgery in neurosurgery, the operative field clear, to reduce intraoperative bleeding and blood transfusion, rapid recovery, is safe and effective. [Keywords:] hypotension, Neurosurgery Microsurgery Hypotension, etc. by the Gordner has been applied to the clinical history of several decades, the current step-down technology and drugs have a lot of progress. Hypotension may lead to the biggest concern is lack of cerebral blood and brain for lack of oxygen, while the degree of antihypertensive drugs and blood pressure also affect the choice of balance between cerebral oxygen supply and demand changes, and this is the anesthesiologist faces an important issue. neurosurgery in recent years in our department in the implementation of micro-surgery controlled hypotension achieved good results, are as follows. 1. General Information Elective neurosurgery 60 patients, including 30