Intraoperative cholangiography in laparoscopic cholecystectomy for acute cholecystitis in the application of.docVIP

 PAGE \* MERGEFORMAT 9 Intraoperative cholangiography in laparoscopic cholecystectomy for acute cholecystitis in the application of Author: ZHENG Si-hairpin JIA Ying-chao Chao-Liang Tang, Yue Ding Yan [Keywords:] Ultrasound-guided lumbar plexus nerve stimulator - sciatic nerve block In recent years, along with the application of nerve stimulation devices, drugs were improved so that peripheral nerve block in the lower extremities surgery more and more widely, including lumbar plexus - a joint sciatic nerve block for concern. Traditional lumbar plexus and sciatic nerve block because it is blind detection operation, dependent on operator experience and the patient’s chief complaint, so clinical anesthesia are often incomplete or failed block. This study used ultrasound-guided Neuro Trace II nerve stimulator-assisted lumbar plexus and sciatic nerve block 60 cases. Report are as follows. 1 Materials and Methods 1.1 General Information Pingyang County People’s Hospital anesthesiology department since September 2007 to December 2008 Select 60 patients with unilateral lower limb surgery, 35 cases were male, 25 female, aged 18 to 59 years with an average (43.51 ± 5.42) years of age . Weight of 43 ~ 63kg, the average (50.45 ± 4.21) kg. One of tibia and fibula fractures in 22 cases, 10 cases of hip fracture, femur fracture under the 8 cases, internal fixation of tibia and fibula taken in 7 cases, saphenous varices in patients with unilateral 13 cases, the United States Institute of anesthetists for the I ~ II-class classification. 1.2 anesthesia after the patient into the operating room routine monitoring of blood pressure, electrocardiogram, pulse, oxygen saturation, open veins, nasal catheter oxygen 3 l / min. Carried out before the nerve block, depending on the patient’s body is different I midazolam 1 ~ 3mg, close observation of breathing. Ultrasonic Instrument (philips HDI-5000) of the ultrasonic probe frequency of 2.0 ~ 5.0MHz between the center locus of 5M