2012China Modern MedicineRequires access

Chest period of epidural anesthesia general anesthesia compound prevention postoperative restlessness

Wang Yong-sheng

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Abstract

Objective: To evaluate the prophylaxis of agitation after general anesthesia with the combination of thoracic epidural with general anesthesia. Methods: One hundred cases of adult patients with abdominal surgery and ASA for Ⅰ-Ⅱ classification level were randomly divided into chest period of epidural anesthesia group composite (Ⅱ group, n = 50) and anesthesia group (Ⅰ group, n=50). Two groups of patients were given intravenous fentanyl 4 μg/kg, propofol 2 mg/kg, muscle relaxation agent vecuronium 0.1 mg/kg ammonium lookahead induced by endotracheal tube, sevoflurane inhaled maintain. Ⅱ group of intraoperative given epidural anesthesia. Results: In patients of Ⅱ groups, the incidence of postoperative restless was (8%) significantly lower than Ⅰ group (28%) (P=0.009). Conclusion: The epidural anesthesia can effectively prevent compound after general anesthesia restless.

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Objective: To evaluate the prophylaxis of agitation after general anesthesia with the combination of thoracic epidural with general anesthesia. Methods: One hundred cases of adult patients with abdominal surgery and ASA for Ⅰ-Ⅱ classification level were randomly divided into chest period of epidural anesthesia group composite (Ⅱ group, n = 50) and anesthesia group (Ⅰ group, n=50). Two groups of patients were given intravenous fentanyl 4 μg/kg, propofol 2 mg/kg, muscle relaxation agent vecuronium 0.1 mg/kg ammonium lookahead induced by endotracheal tube, sevoflurane inhaled maintain. Ⅱ group of intraoperative given epidural anesthesia. Results: In patients of Ⅱ groups, the incidence of postoperative restless was (8%) significantly lower than Ⅰ group (28%) (P=0.009). Conclusion: The epidural anesthesia can effectively prevent compound after general anesthesia restless.

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Available abstract

Objective: To evaluate the prophylaxis of agitation after general anesthesia with the combination of thoracic epidural with general anesthesia. Methods: One hundred cases of adult patients with abdominal surgery and ASA for Ⅰ-Ⅱ classification level were randomly divided into chest period of epidural anesthesia group composite (Ⅱ group, n = 50) and anesthesia group (Ⅰ group, n=50). Two groups of patients were given intravenous fentanyl 4 μg/kg, propofol 2 mg/kg, muscle relaxation agent vecuronium 0.1 mg/kg ammonium lookahead induced by endotracheal tube, sevoflurane inhaled maintain. Ⅱ group of intraoperative given epidural anesthesia. Results: In patients of Ⅱ groups, the incidence of postoperative restless was (8%) significantly lower than Ⅰ group (28%) (P=0.009). Conclusion: The epidural anesthesia can effectively prevent compound after general anesthesia restless.

Key concepts: Medicine, Anesthesia, Propofol, Fentanyl, Sevoflurane, Muscle relaxation, Incidence (geometry), Surgery

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