Nursing Care of Intravenous Anesthesia with Remifentanil for Painless Gastroscope
10.3969/j.issn.1673-9701.2009.17.004
- VernacularTitle:瑞芬太尼应用于无痛胃镜中的护理
- Author:
Weiping DENG
1
;
Xiaohua CHEN
;
Shaohua XIA
Author Information
1. 广东省深圳市福田区人民医院
- Keywords:
Remifentanil;
Fentanyl;
Propofol;
Painless gastroscope;
Nursing care
- From:
China Modern Doctor
2009;47(17):7-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy,safety and points of Nursing care of intravenous anesthesia with remifentanil and propefol for painless gastroscope. Methods 180 patients scheduled for painless gastroscope were randomly allocated into remifentanil group and fentanyl given a bolas injection of fentanyl at 1.0 μg/kg intravenously. One minute later,all the patients were given a loading dose of propefol of 0.4mg/kg followed by boluses of propofol(0.2mg/kg)administered intermittently until Ramsay sedation scale Ⅲ～Ⅳ. The induction time of anesthesia,in-tubation time of gastroscope,time of recovery from anesthesia and stay in the post anesthesia care unit(PACU)were recorded. The mean arterial pressure(MAP),heart rate(HR),ptdse oxygen saturation(SPO2)and respiratory rate(RR)were measured and recorded with noninvasive moni-toring. The body movement,apnea,hypotension and bradycardiac were recorded during operation. All the patients were reviewed for satisfaction after the operation. Results The time of anesthesia induction,intubation time of gastroecope,time of recovery from anesthesia and stay in PACU in remifentanil group were shorter than those in fentanyl group(P < 0.05) ,and propofol eousumption was signitlcantly less in the former group (P < 0.05). Greater MAP decrement was observed in remifentanil group (P < 0.05). Much higher incidence of bradyeardia or hypotensian in remifentail groups was found than that in fentanil group(P < 0.05). Fewer patients had body movement while more had respiratory depression in remifentanil group than in fentanyl group(P < 0.05). No significant difference(P> 0.05)was observed between remifentanil group and fentanyl group in terms of the incidence of hypoxemial. The rate of patient-reed satisfaction was significantly higher in remifentanil group (P < 0.05). Conclusion Intravenous anesthesia with remifentanil and propofol for gastteseope is safe and reliable,Intravenous remifentsnil and propofol for gastroscopy provides more bradycanfia or hypoteusio compared with intravenous fentanyl and propofoL Cautions should be taken by the quent occurrence of hypoxemia with intravenous remifentani. The guardianship and the nursing care are important to painless gastroscope.
