The effect of a new prone position for general anesthesia
10.3760/cma.j.issn.1008-6706.2015.10.007
- VernacularTitle:一种新型俯卧位摆放方法对全身麻醉效果的影响
- Author:
Lei HENG
;
Mingyu WANG
;
Shanshan ZHU
;
Tao ZHANG
;
Houliang SUN
;
Guiqiong JIANG
;
Fei WANG
- Publication Type:Journal Article
- Keywords:
Anesthesia,General;
Punctures;
Trachea;
Intubation,Intratracheal;
Prone Position
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(10):1461-1463,1464
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of a new prone position for general anesthesia.Methods 50 patients in the group were made a retrospective study:All the 50 patients needed prone position surgeries under general anesthesia.After awake flexible fiberoptic intubation,with the anesthesia of thyrocricoid puncturing the intra-trachea surface,has been taken,patients lied in the prone position according to their own comfort with the guide of medical staff,which was followed by anesthesia induction and the operation.The SBP,DBP,HR and RPP were recor-ded at different point of time after patients entered the operation room.Results 33 cases of 50 patients completed the whole process successfully and the indexes at the time of the intubation had no significant difference with those at basic state(all P >0.05).17 operations suffered discomfort.The SBP,DBP,HR and RPP in these patients were (159.2 ±25.9)mmHg,(97.2 ±11.6)mmHg,(98.2 ±9)beats per minute and (16 028 ±6 725)respectively, which were higher than those at basic state(t =2.698,2.802,5.720,8.905,all P <0.05).After applications of small dose sedative,these patients were successfully tracheal intubated.The SBP,DBP,HR and RPP were (144.0 ± 18.5)mmHg,(83.0 ±10.5)mmHg,(89.3 ±10.0)beats per minute and (12 658 ±5 521)respectively at the time of the second intubation,which had no significant difference with those at basic state(all P >0.05).Conclusion It is technically simple and easy to operate,the way that patients waiting for prone position surgeries lie in the prone position by themselves with awake flexible fiberoptic intubation lightens the workload of medical staff and reduces complications of the intubation,which is optional in clinical situations.
