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[小儿多成分麻醉期间持续静脉输注芬太尼]

[Continuous intravenous administration of fentanyl during multicomponent anesthesia in children].

作者信息

Soboleva N S, Doletskiĭ A S, Onuchina N B, Stroganov I A

出版信息

Anesteziol Reanimatol. 1991 Jan-Feb(1):58-9.

PMID:1862969
Abstract

136 anesthetic procedures during planned and emergency surgery in children have been analysed. It has been demonstrated that non-stop intravenous fentanyl injection with an automated syringe of "Lineomat" type ensures an adequate analgesia over a 2-10 h period. The adequacy of anesthesia was confirmed by the data of central and peripheral hemodynamics monitoring, acid-base balance, temperature gradient and clinical course. Non-stop injection of the analgesic made it possible to reduce the drug expenditure by 30% on average as compared to the theoretically calculated dose, as well as to free paramedical personnel and decrease their exposure to blood.

摘要

对136例儿童计划性手术和急诊手术中的麻醉过程进行了分析。结果表明,使用“Lineomat”型自动注射器持续静脉注射芬太尼可在2至10小时内确保充分镇痛。通过中心和外周血流动力学监测、酸碱平衡、温度梯度及临床病程数据证实了麻醉的充分性。与理论计算剂量相比,持续注射镇痛药平均可减少30%的药物用量,还可使医护人员脱身并减少其接触血液的机会。

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