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[同时监测呼气末二氧化碳及其他参数与麻醉管理]

[Simultaneously monitoring end tidal CO2 and other parameters versus anesthesia management].

作者信息

Guo X, Luo A, Ren H, Ye T, Smalhout B

机构信息

PUMC Hospital, CAMS and PUMC, Beijing 100730.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1998 Feb;20(1):76-80.

Abstract

OBJECTIVE

To investigate the significance of end tidal CO2(ETCO2) combined with other techniques in anesthesia management.

METHODS

Twenty two patients undergoing general anesthesia were monitored with electromyocardiogram (ECG), invasive arterial blood pressure (IABP), plethysmogram and capnography simultaneously. Ten patients undergoing epidural anesthesia and cervical plexus block were monitored with ETCO2.

RESULTS

During general anesthesia the depth of general anesthesia, status of ventilation and the degree of muscle relaxation could be grossly evaluated by simultaneously monitoring ETCO2, capnography, plethysmogram, ECG and IABP. ETCO2 could also provide an objective standard for the assessment of respiratory function during spontaneous ventilation.

CONCLUSIONS

ETCO2 combined with other monitoring techniques can increase the safety of anesthesia and the accuracy of anesthesia management.

摘要

目的

探讨呼气末二氧化碳分压(ETCO2)联合其他技术在麻醉管理中的意义。

方法

对22例全身麻醉患者同时进行心电图(ECG)、有创动脉血压(IABP)、容积描记图和二氧化碳监测。对10例接受硬膜外麻醉和颈丛阻滞的患者进行ETCO2监测。

结果

在全身麻醉期间,通过同时监测ETCO2、二氧化碳监测、容积描记图、ECG和IABP,可以大致评估全身麻醉的深度、通气状态和肌肉松弛程度。ETCO2还可为自主通气期间呼吸功能的评估提供客观标准。

结论

ETCO2联合其他监测技术可提高麻醉安全性和麻醉管理的准确性。

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