Effect and nursing of the children under self-retaining laryngoscope papilloma surgery with intermittent ventilation and apneic anaesthesia
10.3760/cma.j.issn.1674-2907.2010.34.040
- VernacularTitle:麻醉中间歇通气法用于小儿支撑喉镜下喉乳头状瘤切除手术的效果及护理
- Author:
Qiong-Fang ZHU
1
;
Xia FENG
;
Qiao ZHOU
;
Xu-Su CHEN
Author Information
1. 510080,广州,中山大学附属第一医院麻醉科
- Keywords:
Intermittent ventilation;
General anaesthesia;
Laryngeal papilloma;
Children;
Nursing
- From:
Chinese Journal of Modern Nursing
2010;16(34):4182-4184
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and nursing methods of children under the self-retaining laryngoscope papilloma surgery with intermittent ventilation and apneic anaesthesia. Methods Twenty children were selected as study subjects, who were undergoing selective self-retaining laryngoscope papilloma surgery assist with endoscope and with endotracheal intubation general anaesthesia. When the pulse oxygen saturation achieve 100% and the end expiration carbon dioxide concentration lower than 30mmHg, the intubation was pulled out and a surgery was carried out at once;When the SpO2 was 97% , endotracheal intubation was made again and hyperventilation. The treatment was repeated till the operation completed. The arterial blood gas,mean arterial pressure, heart rate, saturation of blood oxygen and the end expiration carbon dioxide concentration were monitored. The operation condition assessment by the surgeon, the time that patients come from consciousness;operation complications and the rate of papilloma recurrence three months after operation also were recorded. Results All operations were successfully completed and the time of consciousness was (7 ±3)min. PCO2 and PaO2 were a little fluctuation but in the permission extent. MAP、HR、SpO2 、pH and PaCO2 were maintained stable (P ＞ 0. 05 );The operation condition assessment has reached ninety percent. No complications have happened. The rate of papilloma recurrence three months after operation was 15%.Conclusions Under the cooperation of the surgeon, anesthetists and nurses, the intermittent ventilation and apneic anaesthesia can be safely used in the children self-retaining laryngoscope papilloma surgery, and the breath and airway attendance should be emphasizes.
