Perioperative anesthetic management for patients who received percutaneous nephroscopic peripancreatic necrectomy for acute necrotizing pancreatitis
10.3760/cma.j.issn.1007-8118.2012.02.013
- VernacularTitle:经皮肾镜胰周坏死组织清除术治疗急性坏死性胰腺炎的围术期麻醉管理
- Author:
Long FENG
;
Zeguo FENG
;
Jinghua WANG
;
Weidong MI
;
Aiguo WANG
;
Hong ZHANG
;
Shouwang CAI
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Anesthesia;
Nephrostomy,percutaneous
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(2):123-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review our experiences on perioperative anesthetic management for patients who received percutaneous nephroscopic peripancreatic necrectomy for acute necrotizing pancreatitis.Method The clinical data on 18 patients with acute necrotizing pancreatitis who received percutaneous nephroscopic peripancreatic necrectomy in our hospital from August 2008 to January 2011 were retrospectively analyzed.Results There was a marked fluctuation in hemodynamic status of the patients which required the use of vasoactive drugs during perioperative period.PETCO2 significantly increased after pneumoperitoneum.Tracheal extubation was possible in 11 patients immediately after surgery in the operation room,while 7 patients required tracheal intuhation to be transported back to the surgical intensive care unit (SICU).Conclusion Most patients who underwent percutaneous nephroscopic peripancreatic necrectomy had a varying degree of shock and multi-organ injury before operation.Proper anesthetic induction and maintenance,correct use of vasoactive drugs and lung protective ventilation strategy,and active fluid resuscitation are the keys to good perioperative anesthetic management and to improve treatment results.
