七氟烷复合丙泊酚-芬太尼麻醉在无痛纤支镜检查中的应用

目的 观察七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉用于无痛苦纤支镜检的麻醉效果.方法 40例患者,随机分为两组,七氟烷复合丙泊酚-芬太尼全身麻醉组(GA组,n＝21)和表面麻醉组(SA组,n＝19).分别记录麻醉前(T0)、麻醉后纤支镜进入前(T1)、进镜至咽部(T2)、声门部(T3)、气管内(T4)及第15 min(...

Application of sevoflurane combined with propofol-fentanyl anesthesia in fiberoptic bronchoscopy

Objective To assess the feasibility and safety of sevoflurane combined with propofol-fentanyl in painless fiberoptic bronchoscopy anesthesia.Methods Forty ASAⅠ～Ⅱ patients scheduled for fiberoptic bronchoscopy were randomly divided into 2 groups： general anesthesia with sevoflurane combined with propofol-fentanyl group（GA） and surface anesthesia group（SA）.In GA group,general anesthesia was induced with 2～5% sevoflurane and fentanyl 1.0μg/kg,and then mentained with propofol.Fiberoptic bronchoscopy in group SA was carried out after surface anesthesia.All patients＇ BP,HR,SpO2 and the time interval were recorded in fiberoptic bronchoscopy.The satisfaction of patients doctors was also evaluated.Results Compared with the group SA,the satisfaction of the GA group was significantly higher and circulation fluctuation was relatively minimal.Conclusion General anesthesia with sevoflurane combined with propofol-fentanyl provide satisfactory anesthesia for painless fiberoptic bronchoscopy.