Remifentanil on prevention of epidural anesthesia in appendectomy in the effect of traction reaction.doc

 PAGE \* MERGEFORMAT 3 Remifentanil on prevention of epidural anesthesia in appendectomy in the effect of traction reaction [Keywords:] continuous epidural anesthesia Continuous epidural anesthesia appendectomy surgery is currently the preferred method of anesthesia. Because epidural anesthesia can not be effectively inhibit operation of the traction in the appendix and mesentery reactions often occur in patients with stomach area pain, nausea, vomiting, drums intestinal reactions, resulting in strained abdominal muscle impact of surgery. March to August 2006, the Court used the new opioid remifentanil intravenous continuous infusion micropump traction control response, obtained a satisfactory anesthetic effect. Are reported below. 1 Data and methods 1.1 General Information Select epidural anesthesia to be OK Appendectomy 60 patients, male 34 cases, female 26 cases; aged 18 to 55 years of age; weight of 44 ~ 78kg; ASA Ⅰ ~ Ⅱ grade. Patients receiving epidural anesthesia were for the first time, no anesthetic allergy, preoperative heart, lung, liver and renal function had no obvious abnormalities. Were randomly divided into control group and observation group, 30 cases in each group. 1.2 Anesthesia 30min routine preoperative intramuscular injection of sodium phenobarbital 0.1g and atropine 0.5mg. Into the operating room after the open upper vein, infusion of lactate Ringer’s solution to maintain fluid balance. Regular monitoring of blood pressure (SBP, DBP), heart rate (HR), electrocardiogram (ECG) and pulse oxygen saturation (SpO2). Lateral position, select T11 ~ 12, or T12 ~ L1 epidural space puncture line, after the success of the cephalic catheter 3 ~ 4cm. The first injection of 2% lidocaine 5ml test volume, observed 5min, determine the subarachnoid space or vascular catheter is not being diverted, another injection of 0.75% ropivacaine 10 ~ 15ml, control the upper bound of anesthesia in the T4 below anesthesia Poor results were excluded (as when the