Application of ultrasound guided thoracic paravertebral blockade combined with dexmedetomidine in tho-racoscopic sympathectomy
- VernacularTitle:超声引导下胸椎旁阻滞复合静脉右美托咪定应用于胸腔镜交感神经切断术
- Author:
Jindong XU
1
;
Jinfeng WEI
;
'na Li YU
;
Qing WANG
;
Zhipeng WANG
;
Yuanbo GUO
;
Sheng WANG
Author Information
1. 广东省心血管病研究所 广东省人民医院 广东省医学科学院麻醉科
- Keywords:
Thoracic paravertebral blockade;
Dexmedetomidine;
Nontracheal intubation;
Sympathectomy with video-assisted thoracic surgery
- From:
The Journal of Clinical Anesthesiology
2017;33(10):961-964
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the anesthetic effect of ultrasound guided thoracic paraverte-bral blockade combined with intravenous dexmedetomidine in thoracoscopic sympathectomy. Methods Eighty patients (38 male and 42 female ) undergoing selected thoracoscopic sympathectomy,aged from 16 to 28 years,in ASA physical status Ⅰ or Ⅱ,were equally divided into study group and control group,40 patients in each,according to random number table.Fifteen mi-nutes before paravertebral blockade,while study group received loading dose (0.5 μg/kg)of dexme-detomidine (4 μg/ml)intravenously within 10 min and received continuous intravenous pumping (0.3-0.5 μg·kg-1·h-1 )throughout the operation,control group received isovolumetric normal saline in the same pattern.Patients'heart rate (HR),respiratory rate (RR),mean arterial pressure (MAP),SpO 2 ,observer's assessment of alertness/sedation (OAA/S)scale and adverse reactions were recorded in several time points,namely timing of entrance (T0 ),timing of paravertebral block-ade (T1 ),timing of skin incision (T2 ),timing of sympathectomy (T3 )and the end (T4 ),respective-ly.Results Compared to the control group,while MAP and HR in the study group were obviously decreased through T1-T4 (P <0.05),RR was obvious increased in T2 and T3 (P <0.05)and OAA/S scale was obviously lowered in the study group (P <0.05 ).The study group and the control group had one case and two cases of adverse reaction,respectively,with no significant difference between the two groups.Conclusion The application of ultrasound guided thoracic paravertebral blockade combined with intravenous dexmedetomidine in thoracoscopic sympathectomy is safe and effective.
