快通道心脏麻醉在心脏手术中的应用  

Track Cardiac Anesthesia in Cardiac Surgery

作　　者：冼明海[1] 梁荣鑫[1] 廖益永[1] 

机构地区：[1]广东省高州市人民医院心血管麻醉科,高州525200

出　　处：《中国医药导刊》2011年第5期798-799,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨心脏手术中快通道心脏麻醉的应用体会。方法:选择本院进行心脏手术的患者50例;主要采用复合麻醉;用药为异丙酚、瑞芬太尼、咪唑安定等;降低芬太尼的使用量;对患者在要后进行有效的镇痛和镇静。结果:本组患者中45例在术后6小时内把气管导管拔除,平均拔除时间为0.5～8小时,患者均无发生术中知晓。结论:采取快通道心脏麻醉可达到缩短患者在ICU停留的时间,术后对气管导管早期拔除,减少了并发症的发生,是一种安全有效的方法。Objective：To investigate cardiac surgery in the application of fast track cardiac anesthesia experience.Methods：of cardiac surgery in our hospital 50 patients,mainly in anesthesia,medication for the iso enzyme,remifentanil, midazolam,ete.,reduce the use of fentanyl for patients in pain to be effective after And sedation.Results：45 cases of patients within 6h after tracheal extuhation, the average removal time of 0.5-Sh,patients had no occurrence of intraoperative awareness.Conclusion：The fast track cardiac anesthesia can shorten the time patients stay in the ICU,after early removal of the tracheal tube to reduce the incidence of complications is a safe and effective method,is worthy of clinical application.

关 键 词：快通道心脏麻醉 心脏手术 全身恢复期 

分 类 号：R614[医药卫生—麻醉学]