芬太尼-卡肌宁-异氟醚静吸麻醉在心内直视手术中的应用

本文介绍了芬太尼—卡肌宁—异氟醚静吸复合麻醉用于心内直视手术的经验,并与芬太尼-本可松—异氟醚麻醉对比观察。芬太尼剂量为20～30μg/kg。卡肌宁0.3mg/kg或本可松0.2mg/kg维持肌松,并间断吸入异氟醚。结果发现气管插管后即刻本可松引起心率和血压增加,而卡肌宁引起血压轻度下降。芬卡组循环平稳,术后呼吸恢复快而满意。结论:芬太尼—卡肌宁—异氟醚静吸复合麻醉是一种较理想的心脏手术麻醉方法

FENTANYL-ATRACURIUM-ISOFLURANE BALANCED ANESTHESIA IN OPEN-HEART SURGERY

Fcntanyl-atracurium-isoflurane (FAI) balanced anesthesia was used in open-heart surgery, and was compared with the results of fentanyl-pancuronium-isoflurane (FPI) balanced anesthesia. The does of fentanyl 20-30 g/kg, atracurium 0.3 mg/kg or pa-ncuronium 0.2 mg/kg was used for muscle relaxation, and intermittently isoflurane was inhaled. The results showed that(1 )greater increase in heart rates and blood pressure was observed during endotracheal intubation in FPI group than in group FAI, (2)atracurium had minimal hcmodynamic responses during the whole course, and po-stoperalive recovery of respiration was more rapid and satisfactory. It is concluded that fentanyl-atracurium-isoflurane balanced anesthesia is a preferable anesthetic technique in cardiac surgery