腹腔镜手术的麻醉。包括丙泊酚、依托咪酯、硫喷妥钠和异氟烷在内的五种技术的比较。

Anaesthesia for laparoscopy. A comparison of five techniques including propofol, etomidate, thiopentone and isoflurane.

作者信息

de Grood P M, Harbers J B, van Egmond J, Crul J F

机构信息

Institute for Anaesthesiology, St. Radboudziekenhuis, Catholic University of Nijmegen, The Netherlands.

出版信息

Anaesthesia. 1987 Aug;42(8):815-23. doi: 10.1111/j.1365-2044.1987.tb04104.x.

DOI:10.1111/j.1365-2044.1987.tb04104.x

PMID:2959168

Abstract

This is a report about five anaesthetic techniques for laparoscopy. Propofol and etomidate were used for total intravenous anaesthesia. Propofol, etomidate and thiopentone were used as induction agents prior to inhalational anaesthesia with isoflurane and nitrous oxide. Fentanyl was used for analgesia. Induction with propofol and thiopentone was rapid. Etomidate induction was characterised by myoclonus. Maintenance was smooth with inhalational anaesthesia. Of the groups that received total intravenous anaesthesia, propofol provided stable anaesthesia but required extra bolus doses. Recovery was the most rapid following total intravenous anaesthesia with propofol. Postoperative side effects were much lower after propofol. No difference was observed between the groups with regard to changes in arterial blood pressure and heart rate.

摘要

这是一篇关于五种腹腔镜手术麻醉技术的报告。丙泊酚和依托咪酯用于全静脉麻醉。丙泊酚、依托咪酯和硫喷妥钠在使用异氟烷和氧化亚氮进行吸入麻醉之前用作诱导剂。芬太尼用于镇痛。丙泊酚和硫喷妥钠诱导起效迅速。依托咪酯诱导的特点是出现肌阵挛。吸入麻醉维持平稳。在接受全静脉麻醉的组中，丙泊酚提供稳定的麻醉，但需要额外推注剂量。丙泊酚全静脉麻醉后恢复最快。丙泊酚麻醉后术后副作用要低得多。各组之间在动脉血压和心率变化方面未观察到差异。