文档介绍：25例小儿房间隔、室间隔缺损胸腔镜手术麻醉处理
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【摘要】目的探讨2~10岁儿童房室缺修补胸腔镜手术麻醉处理方法。方法采用单腔气管插管、静脉复合麻醉,麻醉维持采用异丙酚3~6mg/(kg·h),持续输注,分次给予芬太尼镇痛,微泵输注维库溴铵维持肌松。术中行上下腔套带及主动脉灌注插管时,对心率、氧饱和度、平均动脉压、二氧化碳分压进行观察。结果全组手术均获得成功,无死亡。结论术中改良双肺肺通气、加强呼吸管理和肺保护是麻醉管理的关键。
【关键词】房间隔缺损;室间隔缺损;胸腔镜手术;麻醉;小儿
Abstract: Objective To explore approaches of anesthesia management of thoracoscopic surgery for children (aged 2 to 10) suffering from munis. Methods bined anesthesia was performed by single lumen endotracheal intubation during operation in all patients. Anesthesia was maintained by continuous infusion of propofol 3-6 mg/kg·h, with fentanyl administered at times for abirritation and vecuronium bromide infused through a tiny-pump for muscle relaxation maintenance. Results There were no mortality and plication associated with procedures. The heart rate, oxygen saturation, mean arterial pressure and partial pressure of carbon dioxide during the operation of aortic perfusion canula were observed and two-way ANOVA was conducted. Conclusion During the video-assisted thoracoscopic surgery (VATS) for pediatric congenital cardiopathy, improved pulmonary ventilation, enhanced management of respiration and lung protection are the key factors in the anesthesia management.
Key words: atrial septal defect; ventricular septal defect; thoracoscopic surgery; anesthesia; young children
胸骨正中切口心脏