Intratracheal and epidural anesthesia for preemptive analgesia.docVIP

 PAGE \* MERGEFORMAT 14 Intratracheal and epidural anesthesia for preemptive analgesia Author: Ye West on, Cao Dexiong, PENG, Liang Jianjun, Miao Li-ping, CAO Ming-Hui, PENG Shu-ling [Abstract] Objective To study the tracheal epidural anesthesia, epidural administration at different times, different anesthesia-inducing drugs on the impact of postoperative analgesia. Methods abdominal OK resection liver cancer, 120 cases of gastric cancer patients were randomly divided into A, B, C, D 4 groups of 30 cases. A: In the T8 ~ 9 by epidural injection of 1% lidocaine and 0.25% bupivacaine 6 ~ 8ml, via epidural injection of morphine-containing 2mg, droperidol 2.5mg of saline 10ml; General anesthesia induction drugs fentanyl 3μ g/kg, propofol 1 ~ 1.5mg/kg, succinylcholine 2mg/kg. B: induction drugs, do not use fentanyl with lidocaine 1 ~ 1.5mg/kg replaced by intraoperative use of fentanyl does not rest with the A group of conditions. C: In the T8 ~ 9 epidural puncture, followed by whole-body induction of anesthesia, induction drugs fentanyl 3μ g/kg, propofol 2 ~ 2.5mg/kg, succinylcholine 2mg/kg, necessary, to add fentanyl 2 ~ 3μ g/kg. After incision 90min, after epidural injection of 1% lidocaine and 0.25% bupivacaine 6 ~ 8ml, via epidural injection of morphine-containing 2mg, droperidol 2.5mg of saline 10ml. D: inducing drugs, do not use fentanyl, with lidocaine 1 ~ 1.5mg/kg replaced nor the use of intraoperative fentanyl, other conditions as in C group. After completion of surgery, respectively 4,8,24,48 h observation of visual analogue scale (VAS), analgesic consumption, nausea, vomiting, itching and other indicators. Results A group of drug consumption at least, the best analgesic effect; B group and C group followed; D group of drug consumption in the largest and least effective analgesic. Conclusion epidural combined endotracheal anesthesia, epidural anesthesia and fentanyl used in conjunction with the best analgesic effect. [Keywords:] pre-emptive analgesia;