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微创清醒二尖瓣手术和体外循环，无需全身麻醉。

Minimally Invasive Awake Mitral Valve Surgery and Cardiopulmonary Bypass Without General Anesthesia.

机构信息

Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Japan.

Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

出版信息

Ann Thorac Surg. 2019 Apr;107(4):e247-e248. doi: 10.1016/j.athoracsur.2018.07.090. Epub 2018 Oct 3.

DOI:10.1016/j.athoracsur.2018.07.090
PMID:30291833
Abstract

Herein, we report the case of a 49-year-old man with a potentially fatal allergy to propofol and remifentanil who underwent awake minimally invasive mitral valve surgery with cardiopulmonary bypass using thoracic epidural anesthesia, without the need for endotracheal general anesthesia. The aim was the management of spontaneous respiration during cardiopulmonary bypass surgery in an awake patient.

摘要

在此，我们报告了一例 49 岁男性的病例，他对丙泊酚和瑞芬太尼有致命的过敏反应，需要在体外循环下进行清醒微创二尖瓣手术，使用胸段硬膜外麻醉，而无需进行气管内全身麻醉。目的是在清醒患者的体外循环手术期间管理自主呼吸。

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