Applicaiton of total intravenous anesthesia with remifentanil and propofol in mammary plastic surgery
10.3760/cma.j.issn.1671-0290.2009.01.013
- VernacularTitle:瑞芬太尼联合丙泊酚全凭静脉麻醉在乳腺整形手术中的应用
- Author:
Xiaoming WU
;
Wei LI
;
Yongling WEI
- Publication Type:Journal Article
- Keywords:
Remifentanil;
Fentanyl;
Propofol;
Total intravenous anesthesia
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2009;15(1):38-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of remifentanil and propofol anesthesia in patients undergoing mammary plastic surgery. Methods Forty patients (ASA Ⅰ -Ⅱ ) were random-ized into two groups with 20 cases in each. Group R was administered remifentanil and propofol and Group F was administered fentanyl and propofol. The variation of blood pressure (BP) and heart rate (HR) during induction, endotracheal intubation and maintenance, the time of spontaneous breathing recovery, extubation, response to vebal commands, the incidence of intraoperative awareness and postoperative complications, such as vomiting and nausea, were observed. Results There were signif-icant difference in the changes of BP and HR during surgery between two groups (P<0.05). As to the tracheal extubation and the response to vebal commands, the time of group R was significantly shorter than that of group F (P<0.05). There was no significant difference in the incidence of post-operative complications, such as vomiting and nausea, between the two groups. Conclusions The he-modynamie variables are stable in the procedure of total intravenous anesthesia with remifentanil and propofol for mammary plastic surgery. The consciousness recovery is faster in remifentanil and propo-fol anesthesia. Attention should be paid on earlier postoperative analgesia setting for patients undergo-ing remifentanil and propofol anesthesia.
