Comparison of bleeding volume during endoscopic sinus surgery in patients with hypertension under total intravenous anesthesia and combined intravenous with inhaled anesthesia
- VernacularTitle:两种麻醉维持方式对合并高血压病患者鼻内窥镜手术出血量的影响
- Author:
Honggeng WANG
;
Qun LIN
;
Dongsheng CHEN
;
Fang HUANG
;
Yuming HONG
;
Jianqiang HUANG
- Publication Type:Journal Article
- Keywords:
Hypertension;
Endoscopic sinus surgery;
Bleed volume;
Intravenous anesthesia;
In-haled anesthesia
- From:
The Journal of Clinical Anesthesiology
2016;32(9):885-888
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the bleeding volume during endoscopic sinus surgery in pa-tients with hypertension under total intravenous anesthesia or combination of intravenous with inhaled anesthesia.Methods Forty adult patients with hypertension (ASA Ⅰ or Ⅱ),male 25 and female 1 5,aged 35-54 years,agreed to be on electively endoscopic sinus surgery,were divided randomly into two groups(group A and group B,n =20 each).All patients were injected intravenously with fenta-nyl,propofol and cisatracurium during the induction of general anesthesia.During the maintenance stage of the general anesthesia,patients in group A were injected intravenously with propofol,and patients in group B were inhaled with sevoflurane until 5 minutes before the end of the operation.BIS was 40-60 during the operation in the two groups.After induction of anesthesia and tracheal intubation,ni-troglycerin and esmolol were given to adjust blood pressure and hypervolemic hemodilution was performed.. Bleeding volume and operation duration were recorded at the end of the operation.The arterial blood gas, blood lactate and coagulation function were monitored 30 minutes before the operation (T0 ),30 minutes (T1 )and 90 minutes after the operation beginning (T2 )and 30 minutes after the end of the operation (T3 ). Results Bleeding volume in group A was significantly less than that in group B (P <0.05).Fifteen minutes before the operation,the MAP of all the patients in two groups was controlled slowly to 60 mm Hg.Com-pare to those at T0 ,there was no significant difference in the arterial blood pressure,blood lactate and coag-ulation function at T1 ,T2 and T3 .Conclusion During the endoscopic sinus surgery with intravenous anes-thesia for patients with hypertension,the bleeding volume was less than that with inhalation anesthesia.
