Remifentanil in laparoscopic cholecystectomy application.doc

 PAGE \* MERGEFORMAT 6 Remifentanil in laparoscopic cholecystectomy application [Abstract] Objective To observe the Charui fentanyl for laparoscopic cholecystectomy in hemodynamic monitoring and anesthesia recovery. Methods 95 patients with calculous cholecystitis, gallbladder polyps in 5 cases selected intubation inhalation anesthesia. Intraoperative observation of SpO2, BP, HR, PETCO2, ECG, and tracheal extubation. Results The patients in each time point during the operation of the basic indicators for monitoring vital signs stable, awake extubation time after surgery for up to 15min, 5min shortest with an average of 5min. Conclusion Remifentanil is indeed a rapid onset, short duration of action, to eliminate fast, strong analgesic effect, no accumulation of the ideal role of opioid analgesic drugs. [Keywords:] Remifentanil; Laparoscopy; cholecystectomy; hemodynamics; anesthesia In recent years, our hospital with remifentanil combined inhalation anesthesia applied to laparoscopic cholecystectomy, anesthesia satisfaction. Hemodynamics and anesthesia now report as follows. 1 Materials and Methods 1.1 General Information Select ASA ~ grade, a good heart and lung function elective laparoscopic cholecystectomy in 100 patients, aged from 12 to 78 years old, had no history of hypertension, including 36 males and 64 cases female, weight 32 ~ 78kg. Surgery time 45 ~ 90min, burglary routine monitoring SpO2, BP, HR, PETCO2, ECG. 1.2 Anesthesia preoperative intramuscular injection of pentobarbital sodium 30min 0.1g, atropine and scopolamine 0.5mg or 0.3mg. Into the operating room, open two intravenous access, endotracheal intubation in all cases selected inhalation anesthesia. 1.3 induction of anesthesia followed by intravenous injection of midazolam 2 ~ 3mg, fentanyl 0.2mg, propofol 30 ~ 50mg, vecuronium 6 ~ 8mg, 5min tracheal intubation, mechanical ventilation (DragEr Fahius Plus anesthesia machine) , tidal volume 8 ~ 10ml/kg, adjust the respirat