Special treatment in anesthesia of laryngomicrosurgery under the suspension laryngoscopy / 重庆医科大学学报
Journal of Chongqing Medical University
;
(12)1986.
Article
in Chinese
| WPRIM
| ID: wpr-572091
ABSTRACT
Objective:
To discuss the influence of different ways of anesthesia for surgery of vocal cord under laryngomicrosurgery.Methods:
Forty ASA Ⅰ~Ⅱ patients undergoing surgery of vocal cord were randomly divided into two groupsGroup Ⅰ ( n =20) received topical anesthesia of larynopharynx with 2% lidocaine 2ml before general anesthesia.Group Ⅱ ( n =20) received general anesthesia with topical anesthesia. Anesthesia was induced with 2% propofol 1~2mg/kg and fentanyl 100?g followed by vocuronium 0.1 mg/kg.The small-diameter Fr 6.0 trachea tube was intubated nasally.The lungs were mechanically ventilated.Anesthesia depth was maintained with 2.0 MAC isoflurance and propofol infusion 1~2mg/kg or discontinuous fentanyl.Dexamethasone was given at end of the procedure.ECG,HR,BP,S PO 2,P ET CO 2,blood gas were monitored during intubation,extubation or the microlaryngoscopy.Results:
Cardiovascular reactions in Group Ⅰ were significantly less than in Group Ⅱ during intubation,extubation or placed microlaryngoscopy,and no complications occured in two groups.ConclutionCompared with topical anesthesia general anesthesia is a better method for surgery of vocal cord under laryngomicrosurgery.It can significantly relieve of cardiovascular effect and complication.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Journal of Chongqing Medical University
Year:
1986
Type:
Article
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