Remifentanil and propofol target-controlled infusion for two-channel cardiac function~grade induction of general anesthesia in elderly patients_0.doc

 PAGE \* MERGEFORMAT 13 Remifentanil and propofol target-controlled infusion for two-channel cardiac function~grade induction of general anesthesia in elderly patients [Abstract] Objective To investigate remifentanil and propofol target controlled infusion (TCI) total intravenous anesthesia for cardiac function in elderly patients with Grade ~ appropriate induction of general anesthesia target effect concentration. Method heart function under general anesthesia ~ grade in patients aged 62 to 86 years 60 patients undergoing elective surgery were randomly divided into 3 groups of 20 patients. burglary after (baseline T1) intravenous infusion of sodium lactate Ringer 5ml/kg, TCI target effect concentration (T2) 3 groups of patients with remifentanil were gradually increased from 1.0ng/ml 2.0ng/ml, 3.0ng/ml and 4.0ng/ml (T3 after the start of propofol TCI, from the target plasma concentration of 1.0g/ml gradually rose to 4.0g/ml (T4, immediately after intubation (T5), after intubation 2min (T6). recorded mean arterial pressure (MAP), heart rate (HR), bispectral index (BIS), adverse reactions rate, the number of secondary drug use. Results compared with group , group group after the administration and tracheal intubation, after intubation MAP, HR decreased (P lt;0.05), while in group , than the number of adverse reactions Group and more shallow than the number of anesthesia less than group (P lt;0.05), while the BIS group is higher. Conclusion TCI remifentanil total intravenous anesthesia combined with propofol in elderly heart patients with the whole class ~ anesthesia was induced with TCI target effect concentration of remifentanil and propofol should be as 3.0ng/ml TCI 4.0g/ml. [Keywords:] remifentanil anesthetic propofol target effect concentration Abstract: Objective To explore target effect-site concentration of remifentanil and propofol target-controlled infusion (TCI) for general anesthesia in elderly patients with NYHA ~ . Methods 60 p