脑功能区胶质瘤手术术中唤醒麻醉技术  

Awake anesthesia for resection of gliomas located in eloquent brain

作　　者：王德祥[1] 彭昆[1] 韩如泉[1] 

机构地区：[1]首都医科大学附属北京天坛医院麻醉科,100050

出　　处：《中国现代神经疾病杂志》2012年第6期655-659,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：北京市卫生系统高层次技术人才资助项目(项目编号:2009319)~~

摘　　要：脑功能区胶质瘤患者手术应在尽可能切除病灶的同时最大限度地保护脑功能,术中唤醒麻醉技术是能够达到以上目的的安全且有效的麻醉方法。开颅、关颅期间采用血浆靶控输注技术可达到有效麻醉镇静程度,并通过头部神经阻滞为患者提供充分镇痛,喉罩可于术中有效控制呼吸道保证通气。脑功能区监测及病灶切除期间,通过调控血浆靶控输注参数能使患者达到手术满意的清醒程度。Intraoperative awake anesthesia is a safe and reliable method performed in glioma surgery in brain eloquent areas, for the purpose of a maximum resection of the lesions and protection of brain function. Plasma target-controlled infusion （TCI） is used in the course of opening cranium and closing cranium to maintain optimal sedation, which is supplemented by excellent scalp nerve block for analgesia, and a laryngeal mask is used to secure the patient＇s airway. During cerebral function monitoring and lesion excision, appropriately modifying the plasma concentration of propofol TCI can make the patient achieve optimal sedation.

关 键 词：麻醉 静脉 清醒镇静 神经胶质瘤 神经传导阻滞 综述 

分 类 号：R614[医药卫生—麻醉学]