DISCUSSION ON METHODS OF ANESTHETIC INDUCTION IN THE HIGH RISK PATIENTS UNDERGOING MITRAL REPLACEMENT
- VernacularTitle:重症二尖瓣置换术麻醉诱导方法的探讨
- Author:
Xiusheng FANG
- Publication Type:Journal Article
- Keywords:
Fentanyl;
Thiopentothal;
Anesthetic induction
- From:
Journal of Chongqing Medical University
1987;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Three methods of anesthetic induction were studied in 60 patients undergoing mitral replacement with cardiac function of class Ⅲ~IV. The patients divided into three groups based on methods of induction. The results showed that thiopen-tothal might further depress their impaired cardiovascular function in both group I and Ⅱ. The results also showed that MAP, HR, and CVP were more stable in group Ⅲ than In group I and Ⅱ . It is suggested that induction of anesthesin using diazepam 0.2mg/kg, r-OH 50mg/kg,fentanyl 8-10ug/kg and pancuronium 0.1-0.2 mg/kg, or atracurium 0.5mg/kg is quite safe especially in patients with poor cardiac reserve. However, r-OH should be avoided in patients with bradycardia, When derease in. HR occurs following the use of r-OH, atropinc should be given intravenously
