In patients with obstructive jaundice and prevention of complications during anesthesia of Research Progress.docVIP

 PAGE \* MERGEFORMAT 5 In patients with obstructive jaundice and prevention of complications during anesthesia of Research Progress Clinical surgery of obstructive jaundice common and frequently-occurring disease, often secondary to biliary stones, biliary tumor or scarring diseases such as benign stricture. Obstructive jaundice may have an impact on multiple organ systems, causing a series of pathophysiological changes during anesthesia can lead to arrhythmias, intractable hypotension, hepatorenal syndrome, delayed recovery and many other complications from occurring. This article relating to anesthesia complications of obstructive jaundice and prevention research are reviewed. First, the choice of anesthesia in patients with preoperative obstructive jaundice have different degrees of liver damage, severe water and electrolyte disturbance associated with the phenomenon of renal dysfunction. Hepatobiliary organ distribution of the vagus nerve endings intensive, perioperative cardiac reflex biliary easily, so that lower blood pressure, heart rate, and therefore the reasonableness of anesthesia more demanding. Anesthetic management it is necessary to ensure adequate analgesia, sedation and muscle relaxation but also the full rejection to achieve these effects, the harm caused by stress response, while as far as possible to ensure hemodynamic stability and maintain the heart, brain oxygen supply-demand balance. Common method of anesthesia has the following three ways: 1. In addition to continuous epidural anesthesia patient’s condition is extremely serious or in need of open-chest, almost all can be carried out under epidural anesthesia. The law of economic, simple operation, but it is more dangerous after anesthesia, blood pressure, volatile, and can not eliminate the traction reflex, blood pressure drops to commonly used step-up response to bad if the narcotic drug ephedrine can cause respiratory depression is too high plane. 2. General anesthesia safer, more