The conditions of improving conscious intubation under fibrobronchoscopy with target-controlled infusion of remifentanil
- VernacularTitle:靶控输注瑞芬太尼辅助气管插管的效果观察
- Author:
Xiqiang LIAO
;
Laibao SUN
;
Weiming LI
;
Jinlian HUANG
;
Zhenai CHEN
- Publication Type:Journal Article
- Keywords:
Remifentanil;
Infusion pumps;
Intubation,intratracheal;
Fentanyl
- From:
Chinese Journal of Primary Medicine and Pharmacy
2006;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and clinical valve of target-controlled infusion of remifentanil for conscious intubation of patients under fibrobronchoscopy.Methods Forty patients were randomly divided into two groups(F and R),each group contained 20 cases.All of the patients were intubated on regional anaesthesia,as the first step,then the patients in F group were given fentanyl 2?g/kg by vein.In remifentanil target-controlled infusion group(R group),the patients were kept infusing remifentanil 2ng/ml.Results (1)Haemodynamics:in R group,SBP and HR kept steadily;In F group,while the two indices increased significantly.(2)Static pulmonary function:in R group,RR,VT deceased remarkablely.There were no difference between two groups in SpO_2 and P_ ET CO_2.(3)Tracheal intubating condition and Ramsay score in R group were better than in F group;Cardiovascular response in R group was lower.Conclusion Target-controlled infusion of remifentanil for conscious intubation can achieve excellent result,with less cardiovascular response.
