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[小儿肾移植术中联合与不联合硬膜外阻滞的全身麻醉时的血流动力学]

[Haemodynamics during kidney transplantation and general anaesthesia in combination with epidural block and without it in pediatric patients].

作者信息

Lazarev V V, Salmasi K G, Tsypin L E, Kochkin V S, Valov A L, Ectov D B

出版信息

Anesteziol Reanimatol. 2013 Jan-Feb(1):42-5.

PMID:23808253
Abstract

RESEARCH OBJECTIVE

To compare haemodynamic effects of general anaesthesia in combination with epidural block and without it during kidney transplantation in Pediatric patients.

METHODS

61 Pediatric patients undergoing kidney transplantation were divided into two groups. General anaesthesia with sevoflurane, propofol, phentanilum and regional ropivacaine epidural block were used in the group 1. General anaesthesia was used only in the group 2. Haemodynamic parameters were assessed: Arterial blood pressure, stroke volume, central venous pressure and cardiac index.

RESULTS

Both techniques of anaesthesia were adequate.

CONCLUSION

regional ropivacaine epidural block and general anaesthesia combination provides more stable haemodynamic parameters than general anaesthesia single use.

摘要

研究目的

比较小儿肾移植术中全身麻醉联合硬膜外阻滞与单纯全身麻醉的血流动力学效应。

方法

将61例接受肾移植的小儿患者分为两组。第1组采用七氟醚、丙泊酚、芬太尼全身麻醉联合局部罗哌卡因硬膜外阻滞。第2组仅采用全身麻醉。评估血流动力学参数:动脉血压、每搏输出量、中心静脉压和心脏指数。

结果

两种麻醉技术均适宜。

结论

局部罗哌卡因硬膜外阻滞联合全身麻醉比单纯使用全身麻醉能提供更稳定的血流动力学参数。

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