On different methods to reduce etomidate caused abortion in painless evaluation of myoclonus.docVIP

 PAGE \* MERGEFORMAT 8 On different methods to reduce etomidate caused abortion in painless evaluation of myoclonus Study: Zouzu Yu Zhang Zhi Hu Yong Li Min [Abstract] observation and evaluation of intravenous fentanyl, MgSO4 and low-dose intravenous pretreatment reduced etomidate etomidate in painless abortion .180 myoclonus occurred in female patients, divided into 6 groups according to different methods anesthesia, and then surgery. The results show that: the use of tropisetron Siqiong 1 ~ 1.5mg, the intravenous etomidate 0.3mg/kg ago, so intravenous fentanyl 1.0 ~ 1.5μg/kg (150 seconds ago ), MgSO4 60mg (90 seconds ago), and a small amount of pre-injection of etomidate 0.03 ~ 0.05mg/kg (50 ~ 60 seconds before), no inhibition of respiration and circulation, no injection pain, the patient awake most of the stable, very small part of mild nausea and vomiting, is another kind of painless abortion anesthesia. [Keywords:] etomidate; myoclonus; painless abortion Etomidate (Foley, En-hua company) as an induction drug, because of its hemodynamic stability, often with critically ill patients for cardiovascular surgery and anesthesia, etomidate as a mild analgesic effect [1], it is used for short procedures, but the first injection, there is the occurrence of myoclonus, the data show that the incidence of myoclonus up to 80% to 90%, limiting its use in the short surgery . To improve the flow of etomidate in painless surgery myoclonus shortcomings, this study evaluated the design of several anesthetic techniques to improve the role of myoclonus. 1 Materials and methods 180 cases of female patients, aged 17 to 43 years, intramuscular injection of atropine 30 minutes before anesthesia, 15 minutes before anesthesia, intravenous tropisetron Siqiong 1 ~ 1.5mg, then grouped according to different methods of anesthesia, 30 patients in each group, and then surgery. A group: before anesthesia 150,90 and 50 ~ 60 seconds with normal saline intravenously (intrav