Of sufentanil and remifentanil-induced hypotension in endoscopic surgery in comparison.docVIP

 PAGE \* MERGEFORMAT 13 Of sufentanil and remifentanil-induced hypotension in endoscopic surgery in comparison Author: Yao Ming Ling Xiaoyan Zhu Zhipeng Chauvand frequency Keywords: Shufen fentanyl blood pressure is too Ni Rui endoscopic sinus surgery Endoscopic sinus surgery (FESS) has been widely used in clinical practice, because of its small field of view, the operation part of the deep, easy bleeding and difficult to stop bleeding, so be controlled hypotension. Remifentanil in the use of FESS in the larger view, and provide good anesthesia and blood pressure effect, but the new opioid sufentanil used in FESS has been reported rarely in use, the Court since May 2003 to 2006 Sufentanil-year in February with controlled hypotension with remifentanil compared with a view to guide clinical use of drugs. 1 Data and methods 1.1 General Information ASA Ⅰ ~ Ⅱ grade required elective nasal endoscopy 40 patients, 26 cases were male and 14 female; aged 20 to 60 years old, weighing 40 ~ 70kg, were randomly divided into A, B group, 20 patients in each group . There was no preoperative liver, kidney and cardiovascular system complications. 1.2 Anesthesia Routine fasting, preoperative 30min intramuscular injection of atropine 0.5mg, phenobarbital sodium 0.1g. Patient into the operating room that is open vein, connecting multi-function monitor, with 22 puncture needle puncture of radial artery catheter for continuous monitoring of invasive blood pressure (MAP). Group B induction of anesthesia with midazolam 0.10mg/kg, Remifentanil 2μg/kg, vecuronium 0.10mg/kg, propofol 1.0mg/kg go faster endotracheal intubation, maintained Ruifen too Nigeria pumps 0.2μg / (kg * min) ~ 0.5μg / (kg * min) dose pump. A group was used 0.6μg/kg dose sufentanil induction and tracheal intubation in order to sufentanil 0.2μg / (kg * h) ~ 0.5μg / (kg * h) the maintenance of anesthesia, the remaining medication The same as with the B group. Are two g