组织工程与重建外科杂志2011，Vol.7Issue(2)：115-116,2.DOI:10.3969/j.issn.1673-0364.2011.02.016
婴幼儿手外科手术的麻醉处理
Anesthesia for Hand Surgery in Infants
刘勇 1齐麟 1徐长贵 1关大鹏1
作者信息
- 1. 215104,江苏省苏州市,苏州大学附属瑞华医院麻醉科
- 折叠
摘要
Abstract
Objective To observe the clinical effect of axillary brachial plexus anesthesia in infants with ketamine basal anesthesia for hand surgery in infants. Methods A total of 30 children were included in this study. They were anesthetized with ketamine by intramuscular administration, at a dosage of 4-6 mg/Kg in the operating room. After falling asleep, they underwent axillary brachial plexus block using 0.15％ ropivacaine. The dosage was 1.5-2 mg/Kg and injecting capacity was 0.8 mL/Kg. The anesthetic effect and RR, HR, SpO2 changes were observed and recorded. Results All the patients were followed and 25 cases got the excellent result, 3 cases got the good result, the excellent and good rate was 93.3％ (3 cases using upper arm tourniquet had limb movement 2 hours after operation started, were given ketamine intravenously 1-4 times to complete the surgery). Two cases got the bad results, intravenous ketamine was required when the surgery started and additional 2-5 times of ketamine was given to complete the surgery. All patients recovered well after surgery without anesthetic complications. Conclusion Axillary brachial plexus anesthesia with ketamine basal anesthesia in the hand surgery of infants provides satisfactory effects and is a easy, safe technique.关键词
臂丛/腋路法/氯胺酮/罗哌卡因Key words
Brachial plexus/ Axillary/ Ketamine/ Ropivacaine分类
医药卫生引用本文复制引用
刘勇,齐麟,徐长贵,关大鹏..婴幼儿手外科手术的麻醉处理[J].组织工程与重建外科杂志,2011,7(2):115-116,2.
