Hysterectomy Comparison of different anesthesia methods.docVIP

 PAGE \* MERGEFORMAT 11 Hysterectomy Comparison of different anesthesia methods Author: Wu Jie Xiong China Zhou Ji-Min PAN products Keywords: hysterectomy anesthesia method At present combined spinal and epidural anesthesia, continuous epidural anesthesia [1] widely used in clinical evaluation varied, the authors from May 2005 to March 2006 for hysterectomy were treated with different methods to compare their excellent shortcomings, the report is as follows. A clinical data 1.1 General Information To 60 patients, ASA Ⅰ or Class Ⅱ, aged 35 to 55 years old, weight 45 ~ 75kg, height 148 ~ 165cm. 1.2 Methods Preoperative routine with phenobarbital sodium 100mg, atropine 0.5mg intramuscularly. Were randomly divided into 3 groups (n = 20), Ⅰ group 2-point continuous epidural groups, respectively, T11 ~ 12 \ L2 ~ 3 vertebral epidural space puncture, respectively, head up, down tube 3 ~ 4cm , the amount of 2% lidocaine injection experiment 3ml, observation 10min, after no signs of spinal anesthesia, separated by 5min of 1.6% lidocaine injection of 0.2% tetracaine 10 ~ 15 ml, every 45 ~ 60min each additional 5 ml. Anesthesia clear, given before the beginning of surgery backward abdominal fitness The amount of narcotic analgesics, anti-traction reaction, so that patients fall asleep. Group Ⅱ a single-point combined spinal-epidural anesthesia group, through the L2 ~ 3 vertebral epidural space puncture, when the needle into the epidural space to determine later 25G waist pinning, since the pinhole into the spinal epidural puncture cavity to determine the outflow of cerebrospinal fluid at a slow speed (about 5s 1ml) injection of local anesthetics (0 .75% Bupivacaine 2ml 10% glucose 1ml) injected under the patient’s condition quickly pulled out 2.5 ~ 3ml waist pinning, and then to the head indwelling epidural catheter 3 ~ 4 cm, fixed-catheter, to enable patients to lie horizontally adjustable surgery required plane (