Ropivacaine mesylate in epidural anesthesia of.doc

 PAGE \* MERGEFORMAT 5 Ropivacaine mesylate in epidural anesthesia of [Abstract] Objective To discuss the ropivacaine mesylate in epidural anesthesia. Methods 40 cases of patients with thyroid occupying epidural anesthesia, injection of 0.447% ropivacaine mesylate 1% hydrochloric acid lidocaine, complete the surgery, the patients were observed. Results of patients after treatment, blood pressure range of “30%, heart rate change is small, the effect is satisfactory. Conclusion Ropivacaine mesylate epidural anesthesia for thyroid surgery on the respiratory disturbance is transient and does not affect the blood oxygen saturation, less impact on the cycle, corresponding to less adverse drug reactions, anesthetic effect. [Key Words] high epidural anesthesia; a ropivacaine; thyroid surgery Lesions is a common thyroid disease, thyroid surgery hospitals of all sizes to carry out a lot. At present, many hospitals are thyroid surgery under general anesthesia. While in hospital, the neck is still very wide range of application of epidural . thyroid surgery anesthesia with high requirements, we must have a good anesthetic effect, but also patients remain sober, but also to actively cooperate with the surgery, so surgery to complete such a case, a high level of anesthesia is essential, in addition to required anesthesia medical care in the operation of a bold, but a good choice of local anesthetic is also critical. now 40 patients in our hospital’s anesthesia experience is summarized below. 1 Clinical data 1.1 General Information The group of 40 patients, including 10 males and 30 females, aged 25 to 45 years old, weighing 45 ~ 65 kg, ASA ~ grade. 1.2 anesthesia in patients with burglary, open vein, perfect BP, SpO2, ECG monitoring. Patients with lateral position, the election C6 ~ 7 or C7 ~ T1 space, successful puncture to the head end into 4 ~ 5 cm catheter, taken supine bit, to give 0.447% ropivacaine mesylate of 1% lidocaine hydrochloride 12 ml.15 mi