ABSTRACT
Objective To observe the analgesic effect and adverse reactions of three kinds of spinal anesthesia methods for procedure for prolapse and hemorrhoidsand explore the preferred anesthesia method. Methods Ninety patients with PPH were enrolled in our hospital in 2016. They were randomly divided into three groups(30 patients in each group):group A(combined spinal and epidural anesthesia),group B(one point of puncture continued epidural anesthesia),and group C(two points of puncture continued epidural anesthesia). The blood pressure,heart rate and blood oxygen saturation were recorded before operation,intraoperative and postoper-ative processes. The anesthetic effect was graded,and the anesthesia effect,urination time and urinary retention were recorded. Results The anesthesia effect of the group A and the group C was significantly better than that of the group B(P < 0.05). The urination time of the group B and the group C was shorter than that of the group A (P < 0.05). The incidence of urinary retention in the group A was significantly higher than that in the group B andthe group C(P < 0.05). Conclusions The PPH can be completed under the combined spinal and epidural anesthesia and the two points of puncture continued epidural anesthesia with anesthesia effect and less traction reaction,but the latter will be a preferred option with the advantages of fast renewal and less urinary retention. It is worthy to be promoted widely.
ABSTRACT
Objective To observe the analgesic effect and adverse reactions of three kinds of spinal anesthesia methods for procedure for prolapse and hemorrhoidsand explore the preferred anesthesia method. Methods Ninety patients with PPH were enrolled in our hospital in 2016. They were randomly divided into three groups(30 patients in each group):group A(combined spinal and epidural anesthesia),group B(one point of puncture continued epidural anesthesia),and group C(two points of puncture continued epidural anesthesia). The blood pressure,heart rate and blood oxygen saturation were recorded before operation,intraoperative and postoper-ative processes. The anesthetic effect was graded,and the anesthesia effect,urination time and urinary retention were recorded. Results The anesthesia effect of the group A and the group C was significantly better than that of the group B(P < 0.05). The urination time of the group B and the group C was shorter than that of the group A (P < 0.05). The incidence of urinary retention in the group A was significantly higher than that in the group B andthe group C(P < 0.05). Conclusions The PPH can be completed under the combined spinal and epidural anesthesia and the two points of puncture continued epidural anesthesia with anesthesia effect and less traction reaction,but the latter will be a preferred option with the advantages of fast renewal and less urinary retention. It is worthy to be promoted widely.
ABSTRACT
OBJECTIVE:To compare anesthesia effects of 3 anesthesia methods,to investigate anesthesia improvement method for bronch fiber oscope. METHODS:315 patients undergoing bronch fiber oscope were randomly divided into group A(106 cas-es),group B(104 cases)and group C(105 cases). Group A was treated with traditional bronch fiber oscope lidocaine atomization local anesthesia,group B was treated with modified bronch fiber oscope pethidine combined with lidocaine atomization local anes-thesia and group C was treated with three-limb tube connected with laryngeal mask and target-controlled propofol and remifentanil general anesthesia. SaO2,SBP,DBP,heart rate,breathing rate,excellent anesthesia rate,compliance rate,the rate of bodymove-ment and choking,pain recalling rate were compared among 3 groups before and during examination,and ADR was observed. RE-SULTS:Compared with before examination,SaO2 of group A was decreased significantly during examination,with statistical sig-nificance(P<0.05);that of group B and C had no obvious change before and during examination. Blood pressure,heart rate and breathing rate of 3 groups had no obvious change before and during examination. The excellent anesthesia rate and compliance rate of group A were significantly lower than those of group B and C,but the rate of bodymovement cough and pain recalling rate were significantly higher than group B and C,with statistical significantly(P<0.05). The excellent anesthesia rate and compliance rate of group B were significantly lower than those of group C,but the rate of bodymovement cough and pain recalling rate were signifi-cantly higher than group C,with statistical significance (P<0.05). No ADR was found in 3 groups. CONCLUSIONS:Modified bronchoscope atomization local anesthesia and modified painless bronchoscope are better than traditional bronch fiber oscope atomi-zation local anesthesia in anesthesia effect,safety,degree of comfort and acceptability. Modified bronchoscope atomization local an-esthesia was best but most expensive,so these methods can be chosen according to patient’s condition.
ABSTRACT
BACKGROUND: Adequate humidification of anesthetic gases has been recommended both for the prevention of pulmonary damage during endotracheal anesthesia and for the maintenance of body temperature, especially in long-duration operated patients. Partial rebreathing anesthesia technique frequently lacks adequate humidity. So, this study was designed to compare inspired humidities in partial rebreathing anesthesia method with and without humidifier in the system. METHODS: The author examined inspired humidity using a controlled partial rebreathing anesthesia method with and without Bird humidifier in 10 and 22 healthy adult patients respectively. The patients were divided into two groups (1 and 2). All patients were anesthetized with pancuronium, halothane or enflurane, nitrous oxide-oxygen, 50-50 per cent, and their lungs were mechanically ventilated. Inspired humidity was measured for three hours at 30-min intervals in both groups. RESULTS: Significant differences were found among group 1- and 2-inspired humidities for 3 hours. While group 2-inspired humidity remained constant between 13 and 16 mgH2O/L during entire anesthesia procedure group 1-inspired humidity remained under 9 mgH2O/L. CONCLUSIONS: The humidities in all partial rebreathing anesthesia method with Bird humidifier not only exceeded those of method without humidifier but also seemed to be high enough to prevent dysfunction of tracheobronchial ciliated epithelium, while the standard partial rebreathing anesthesia method does not provide adequate inspired humidity.