Femoral-femoral cardiopulmonary bypass prior to induction of anesthesia in patients with nearly complete obstructed trachea
- VernacularTitle:股-股心肺转流用于主气管极度梗阻手术患者麻醉诱导的临床研究
- Author:
Haibo HUANG
;
Jinzhang WANG
;
Jinshan CAO
- Publication Type:Journal Article
- Keywords:
Extreme tracheal obtruction Femoral-femoral cardiopulmonary bypass
- From:
Chinese Journal of Anesthesiology
1995;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
To solve the problems of induction of anesthesia in patients with extreme trachea occulusion, femoral-femoral cardiopulmonary bypass (FFCPB) was used in 9 patients with nearly total tracheal obstruction prior to induction of anesthesia. After FFCPB was set up under local anesthesia, general anesthesia and surgery began soon. The results showed the patients were quiet and co-operative 3 to 5 mins following FFCPB with the disappearance of tissue hypoxia syndrome and attenuation of hypertension and taehycardia. During FFCPB PaO_2 increased from 7.6～9.8 to 16～40kPa, PaCO_2 decreased from 7.4～8.2 to 4.5～5.9 kPa, SaO_2 increased from 71.6～79.9 to 98.0～99.9%, urine volume, blood pressure and heart rate were maintained at satisfactory levels. The results indicate that FFCPB prior to induction of anesthesia is a rapid, safe and effective method in rescuing patients with nearly complete obstruction of the main trachea.
