医药导报2001，Vol.20Issue(5)：295,1.
危重新生儿手术的麻醉处理
Anesthetic Intervention of the Neonates at High Risk during Surgical Operation
摘要
Abstract
Objective: To improve the safety of anesthesia of the neonates at high risk during surgical operation. Methods:Before the operation, Anisodamine, Ketamine and Vecuronium bromide were injected intravenously with dosage of 0.06mg, 2mg*kg-1 and 0.08-0.1mg*kg-1, respectively. Tracheal cannula or topical anesthesia using 1% of lidocaine hydrochloride was performed. The tracheal cannulation was performed after administration of sodium hydroxybutyrate and Ketamine by injection with dosages of 50-80 mg*kg-1 and 2mg*kg-1 body weight. Anesthesia apparatus and combinative anesthesia were used. The concentrations of SpO2 were monitored during the operation. A dosage of 1-2mg*kg-1 body weight was used for resuscination of the patients after the operation. Results: A total of 100 cases of operation were performed using the regime of anesthetic intervention described above. A 100% of success rate was achieved and no death occurred during the operation. Conclusion:Significant improvement of safety in anesthesia of the neonates at high risk during surgical operation can be achieved with sufficient preoperational preparation, adequate monitoring during the operation and rational use of anesthetics as well as restrict selection of suitable anesthetical interventions.关键词
新生儿/危重/手术/麻醉/氯胺酮/维库溴铵分类
医药卫生引用本文复制引用
杨智玲,黄丽芬..危重新生儿手术的麻醉处理[J].医药导报,2001,20(5):295,1.
