Application of intravenous lidocaine in patients undergoing hysteroscopy surgery under Narcotrend moni-toring
10.3969/j.issn.1006-5725.2017.18.021
- VernacularTitle:Narcotrend监测下静注利多卡因在宫腔镜手术麻醉中的应用
- Author:
Huaxin WANG
1
;
Liying ZHAN
;
Xuan PENG
;
Yeda XIAO
;
Qiang JIA
;
Bo ZHAO
Author Information
1. 武汉大学人民医院麻醉科
- Keywords:
narcotrend monitoring;
lidocaine;
hysteroscopic surgery
- From:
The Journal of Practical Medicine
2017;33(18):3064-3066
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe intravenous lidocaine in patients undergoing hysteroscopy surgery under Narcotrend monitoring. Methods 80 patients undergoing elective hysteroscopy surgery were randomly divided into normal saline group(group S)and lidocaine group(group L). Before anesthesia induction ,group L was given lido-caine injection of 1.5 mg/kg,then with 2 mg/(kg·h)for infusion to the end of surgery. Group S received normal sa-line instead of lidocaine as the control. All patients received Narcotrend(NT)monitoring anesthesia depth of seda-tion and received intravenous anesthesia with propofol and remifentanil. Operation time (T1),dosage of propofol and remifentanil,total waking time(T2),postoperative pain of 0.5 h(T3),4 h(T4),24 h(T5)by postoperative visual analogue scale(VAS),incidence of sore throat,lidocaine adverse reactions were recorded. Results Age, weight,T1,T2 and dosage of propofol between two groups had no statistical significance (P > 0.05). Dosage of remifentanil of group L was obviously less than that in group S (P < 0.05). VAS score T3 ,T4 of group L was obviously less than those in group S(P < 0.05). No significant difference was found on T5. Sore throat incidence of group L was lower than that in group S(P < 0.05). Lidocaine adverse reactions were not found in L group. Conclusions Intravenous lidocaine in hysteroscopy surgery is safe and effective under Narcotrend monitoring.
