Remifentanil - propofol anesthesia on hemodynamics during laparoscopic cholecystectomy influence.doc

 PAGE \* MERGEFORMAT 11 Remifentanil - propofol anesthesia on hemodynamics during laparoscopic cholecystectomy influence [Abstract] Objective To evaluate the propofol and remifentanil-based total intravenous anesthesia on hemodynamics in patients undergoing laparoscopic surgery and the stress response. Methods 60 patients with ASA - grade required laparoscopic surgery randomly divided into two groups (propofol, remifentanil induced and maintained by P / R group and propofol, fentanyl, isoflurane induced to maintain the I / F group) 30 patients with laryngeal mask airway to maintain ventilator, the two groups before anesthesia, immediately after intubation, immediately after pneumoperitoneum, pneumoperitoneum and 20 min after the completion of surgery, mean arterial pressure (MAP), heart rate (HR) and peripheral blood glucose (Glu). Results immediately after pneumoperitoneum after abdominal gas 20 minP / R group MAP, HR was significantly lower than I / F group (P lt;001). P / R group after pneumoperitoneum Glu 20 min, of surgery was significantly lower than I / F group ( P lt;001). Conclusions of propofol and remifentanil-based total intravenous anesthesia compared to isoflurane and fentanyl-based anesthesia for laparoscopic surgery traditional balance, can effectively inhibit the carbon dioxide abdominal and hypercapnia-induced blood pressure and reduce the stress response to surgery. [Keywords:] Remifentanil; laparoscopic cholecystectomy; total intravenous anesthesia; hemodynamics Abstract: Objective To evaluate the effect of propofol, remifentanil-based total intravenous anesthesia for laparoscopic surgery on patients with hemodynamic and stress responses. Methods 60 patients with ASA - grade required to laparoscopic surgery were randomly divided into two groups (propofol, remifentanil- induced and maintained by P / R group and propofol, fentanyl induced by isoflurane inhalation to maintain the I / F group). There are 30 cases in each group. We k