七氟醚麻醉饱和状态后低流量的可行性.pdfVIP

朱 赞，等．七氟醚麻醉饱和状态后低流量的可行性 381 Low—flow inhalationalanesthesia has been explored for clinical applications for several M aterialsandM ethods decadesⅢ ． M any measuresand techniqueshave been developed to reach Iow—flow anesthesia [2—63 Ethicalapprovalwas provided by the Ethics foreconomica1reasons[一]andtoreducethewaste Committee of Fudan University (clinicaI trial ofanesthetic gas．At the startup ofanesthetic registration number： 3521—2009) and written induction [。一 ，it is recommended that the informed consent was obtained from al1 the deliveredfraction (Fd)setonthevaporizershould participants．In the current study we enrolled 20 bealargevalue(4％ vo1)，withafreshgasflow patients with abdominalneoplasm who had been (FGF)=3—4L／rain．Undersuchacircumstance． scheduled to undergo surgical operation under however，almost allpatients at normal weight inhalationalanesthesiacombinedwithepiduralblock．5 would have their blood pressure decrease for a malesand 15 femalesaged 18— 65 (50±6．5) and sudden increase in the depth of anesthesia． weighting60—65kg[(63±3．5)kg]wereall M oreover，the inducing time can bevery long in categorizedasASA L obese patients．During the process of low flow Thepatients received an epiduralpuncture， anesthesia，the most significant difficulty is that followedby an injection of10 mL of0．375 both the inspiredfraction (Fi) and theend—tidal bupivacaineintotheepiduralspaceto ensurethat fraction (Fet)ofsevofluraneonthemonitorcanbe thescopeofanestheticblockincludedtheareafor unstable so that the depth ofanesthesia can be operation．Treatedwithmidazolam at0．04—0．06 hard to controland the anesthesi0logisthas to mg／kg，propofolat1．5mg／kg，fentanylat2— adjustFdaccordingtothechangesinFet． 3~g／kg and norcuron at