Plateau spinal and epidural anesthesia in gynecologic surgery.doc

 PAGE \* MERGEFORMAT 6 Plateau spinal and epidural anesthesia in gynecologic surgery [Keywords:] plateau, gynecological surgery, anesthesia Our hospital from January 2004 to April 2008 the line hysterectomy (surgery with subtotal spinal and epidural anesthesia, the effect is better than using a continuous epidural anesthesia anesthetic effect, the results reported below. 1 Materials and Methods 1.1 General Information Select ASA (Ⅰ ~ Ⅱ grade elective hysterectomy (subtotal resection in 56 cases, aged 45 to 70 years old, weighing 40 to 65 kg. Randomly divided into two groups. Epidural group, 30 cases, hard 26 cases of spinal anesthesia combined. 1.2 Methods 30 minutes before surgery are catheterization, intramuscular injection of atropine 0.5mg and phenobarbital sodium 0.1g. Burglary after the regular infusion, oxygen, take the lateral position positioning disinfection. Epidural group was 18 epidural needle at the L1 ~ L2 intervertebral space interspersed, after the success of epidural catheter was inserted 3.0cm ~ 3.5cm, conventional injection of 1.8% to 2.0% lidocaine hydrochloride 10 ~ 18ml. Joint United interspersed with needle group L2 ~ 3 intervertebral space in the interludes, after the success of epidural needle into the spinal needle for spinal puncture, puncture after successful injection of 0.75% bupivacaine 1.0 ~ 1.2ml plus 5% glucose solution 1.3 ~ 1.5ml total mixture of 2.5ml. according to the patient’s weight, height and body condition changes to 0.3ml / s ~ 0.5ml / s speed pull out after the spinal injection needle interludes, interspersed by the epidural needle was placed into a hard membrane catheter 3.0cm ~ 3.5cm, spinal injection, epidural catheter 5 minutes after the injection of 1.8% ~ 2.0% for the experimental 3ml lidocaine hydrochloride, 5 minutes later the situation based on monitoring and operation, an additional 1.8% ~ 2.0 % lidocaine 5 ~ 15ml, until the end of surgery. intraoperative entire U.S. production of NPB4000 wi