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[丙泊酚在短期骨科手术中的应用]

[The use of propofol in short-term orthopedic surgery].

作者信息

Danel O, Luccioni G, Renard C, Normand S, Duvaldestin P

出版信息

Cah Anesthesiol. 1987 Mar-Apr;35(2):129-32.

PMID:3496944
Abstract

The use of propofol for induction and maintenance of anaesthesia was investigated in 77 patients undergoing orthopedic surgery scheduled to last no longer than 1 h. General anaesthesia is induced with 2 mg X kg-1 propofol, and maintained with repeated bolus of half induction dose of propofol (given when anaesthesia is judged too light). Anaesthesia was successfully induced with the single dose of propofol 2 mg X kg-1 in 93% patients, the others needed additional bolus dose of 1 to 2 mg X kg-1. For maintenance, mean rate of propofol was 0.148 mg X kg-1 X min-1. The recovery time was 15 minutes after the last bolus of propofol. The most noticeable side effects were apnoea during induction (89%), and painful injection (35%). Propofol is a short acting intravenous anaesthetic devoided of serious side effect which appears very useful for day case surgery.

摘要

在77例计划进行时长不超过1小时的骨科手术患者中,研究了丙泊酚用于麻醉诱导和维持的情况。全身麻醉诱导采用2mg/kg丙泊酚,维持采用重复推注半诱导剂量丙泊酚(在判断麻醉过浅时给予)。93%的患者单次给予2mg/kg丙泊酚成功诱导麻醉,其他患者需要额外推注1至2mg/kg剂量。维持麻醉时,丙泊酚平均给药速率为0.148mg/kg/min。最后一次推注丙泊酚后恢复时间为15分钟。最显著的副作用是诱导期呼吸暂停(89%)和注射痛(35%)。丙泊酚是一种短效静脉麻醉药,无严重副作用,对日间手术似乎非常有用。

相似文献

1
[The use of propofol in short-term orthopedic surgery].[丙泊酚在短期骨科手术中的应用]
Cah Anesthesiol. 1987 Mar-Apr;35(2):129-32.
2
[Adverse effects and recovery after total intravenous anesthesia in children].[小儿全静脉麻醉后的不良反应与恢复情况]
Med Pregl. 1998 Jan-Feb;51(1-2):68-72.
3
The new formulation of I.C.I. 35868 (propofol) as the main agent for minor surgical procedures.将 I.C.I. 35868(丙泊酚)的新制剂用作小型外科手术的主要药物。
Eur J Anaesthesiol. 1986 Jan;3(1):19-26.
4
Use of ICI 35868 as an anesthetic induction agent.使用ICI 35868作为麻醉诱导剂。
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5
Propofol ('Diprivan') infusion as main agent for day case surgery.
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An investigation of the pharmacokinetic profile of propofol ('Diprivan') after administration for induction and maintenance of anaesthesia by repeat bolus doses in patients having spinal anaesthetic block.在接受脊髓麻醉阻滞的患者中,通过重复推注剂量给药用于诱导和维持麻醉后丙泊酚(“得普利麻”)药代动力学特征的研究。
Postgrad Med J. 1985;61 Suppl 3:60-1.
8
[Propofol infusion for the maintenance of short-term anesthesia].[丙泊酚输注用于维持短期麻醉]
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9
[Total intravenous anesthesia (TIVA) and balanced anesthesia with short-acting anesthetics for ENT surgery in children].[小儿耳鼻喉科手术的全静脉麻醉(TIVA)和短效麻醉药平衡麻醉]
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10
Propofol ('Diprivan') as a supplement to nitrous oxide-oxygen for the maintenance of anaesthesia.丙泊酚(“得普利麻”)作为氧化亚氮 - 氧气麻醉维持的补充药物。
Postgrad Med J. 1985;61 Suppl 3:80-3.