Patients on total gastrectomy compared the performance of different anesthetic techniques.doc

 PAGE \* MERGEFORMAT 9 Patients on total gastrectomy compared the performance of different anesthetic techniques Study: Bi Chang Zhou Zheng-mei Chen Kai fine sound Xielijinlin Li Lin Yixiong [Abstract] Objective: To compare the gastric cancer patients with total gastrectomy inhalation anesthesia and inhalation anesthesia combined with epidural block performance. Methods: Elective surgical patients with total gastrectomy 40 patients ASA I ~ II, aged 48 65 years old, weighing 55 to 70 kg, were randomly divided into two groups, the simple inhalation anesthesia group (I group) and inhalation anesthesia combined with epidural anesthesia group (II group) before surgery in both groups without drugs, Epidural injection of lidocaine 1% solution of 0.375% bupivacaine test dose 4ml. the two groups have intravenous midazolam 0.04 mg.kg-1, fentanyl 4 mg.kg-1, C propofol 1 mg.kg-1, 2 mg.kg-1 succinylcholine induction of anesthesia, tracheal intubation after intravenous injection of vecuronium 0.08 mg.kg-1 mechanical ventilation. I intraoperative anesthesia was maintained: the trace continuous intravenous infusion pump propofol 4 ~ 6 mg.kg-1h-1, vecuronium 0.08 mg.kg-1h-1, remifentanil 1 ~ 1.5 ug. kg-1h-1, while inhalation of 50 % nitrous oxide. II intraoperative epidural anesthesia to maintain 1% lidocaine and 0.375% bupivacaine solution, continuous intravenous propofol 4 mg.kg-1h-1, vecuronium 0.08 mg.kg-1h-1, 50% nitrous oxide inhalation. controlled intravenous postoperative analgesia were used. Both groups of deep venous catheterization line intravenous infusion. Recorded age, weight, operation time, anesthesia time, recovery time after stopping, extubation time, postoperative adverse events, 24-hour analgesia (VAS score), Press the number of additional analgesia pump patients, drug costs (including costs of waste and postoperative analgesics), anesthesia materials costs and the total cost of anesthesia. Results: I group and II group, two groups of age, weight, sur