Objective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH). Methods: 62 patients with PH un...Objective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH). Methods: 62 patients with PH undergoing video-assisted thoracoscopic sympathectomy, aged 18~35 years, ASA I-II, were randomized into two groups: intubated group (group T) and normal-frequency jet ventilation group (group J). After induction tracheal tubes were inserted in Group T and Wei nasal airway were inserted in group J. The heart rate(HR),saturation pulse oxygen (SPO2), mean artery pressure (MAP) and end-tidal carbon dioxide partial pressure (PETCO2) were recorded at following time points: before induction (T0),1 min after induction (T1), 1 min after tube insertion/ intubation (T2), when trocars were inserted and carbon dioxide was inflated (T3), during lung recruitment maneuver and the chest closure (T4), the moment of extubation (T5), 15 min after extubation (T6). Blood samples were taken from left radial artery for blood gas analysis to monitor carbon dioxide partial pressure, arterial oxygen partial pressure, PH ,the BE at T0, T4, T6.The duration of anesthesia, awaking time ,the dosage of the propofol and the remifentanil, the intraoperative and postoperative adverse events were recorded. Results: Compared with group T, the HR and MAP were more stable in group J. The awaking time in the group J were significantly shorter than those in group T (P<0.05), the dosage of the remifentanil in group J was significantly less than that in group T (P<0.05), The incidences of throat discomfort, nausea and vomiting were lower than those in group T (P<0.05). Conclusion: Normal-frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the (PH)is feasible, which can reduce stress response and make hemodynamics stable without the complications of tracheal intubation.展开更多
目的比较胸腔镜肺大泡切除术保留自主呼吸非气管插管全身麻醉与传统全身麻醉的费效。方法择期行胸腔镜肺大泡切除术患者60例,随机分为两组(n=30):传统全身麻醉组(T组)和非气管插管全身麻醉组(NT组)。T组常规全麻气管插管术后行单肺通气...目的比较胸腔镜肺大泡切除术保留自主呼吸非气管插管全身麻醉与传统全身麻醉的费效。方法择期行胸腔镜肺大泡切除术患者60例,随机分为两组(n=30):传统全身麻醉组(T组)和非气管插管全身麻醉组(NT组)。T组常规全麻气管插管术后行单肺通气;NT组全身麻醉联合神经阻滞,保留自主呼吸。记录两组患者血气分析结果、术中及术后恢复情况、住院时间、术后48 h VAS评分及PCA次数。计算麻醉费用及住院总费用。结果与T组比较,NT组在关胸前和关胸后30 min时pH值降低,PCO2升高,关胸后30 min时氧合指数升高(P <0.05);与T组比较,NT组麻醉时间、定向力恢复时间和改良Aldrete评分≥9分时间、术后咽喉痛发生率、术后住院时间、术后6、12 h VAS评分及术后48 h PCA次数、麻醉费用及住院总费用均降低(P <0.05)。结论在充分考虑患者安全的前提下,与传统气管插管全身麻醉比较,非气管插管全身麻醉不仅有利于胸腔镜下肺大泡切除术患者术后转归,还可以改善费效。展开更多
基金Science Foundation of Putian.Project No:2018S3Y006.
文摘Objective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH). Methods: 62 patients with PH undergoing video-assisted thoracoscopic sympathectomy, aged 18~35 years, ASA I-II, were randomized into two groups: intubated group (group T) and normal-frequency jet ventilation group (group J). After induction tracheal tubes were inserted in Group T and Wei nasal airway were inserted in group J. The heart rate(HR),saturation pulse oxygen (SPO2), mean artery pressure (MAP) and end-tidal carbon dioxide partial pressure (PETCO2) were recorded at following time points: before induction (T0),1 min after induction (T1), 1 min after tube insertion/ intubation (T2), when trocars were inserted and carbon dioxide was inflated (T3), during lung recruitment maneuver and the chest closure (T4), the moment of extubation (T5), 15 min after extubation (T6). Blood samples were taken from left radial artery for blood gas analysis to monitor carbon dioxide partial pressure, arterial oxygen partial pressure, PH ,the BE at T0, T4, T6.The duration of anesthesia, awaking time ,the dosage of the propofol and the remifentanil, the intraoperative and postoperative adverse events were recorded. Results: Compared with group T, the HR and MAP were more stable in group J. The awaking time in the group J were significantly shorter than those in group T (P<0.05), the dosage of the remifentanil in group J was significantly less than that in group T (P<0.05), The incidences of throat discomfort, nausea and vomiting were lower than those in group T (P<0.05). Conclusion: Normal-frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the (PH)is feasible, which can reduce stress response and make hemodynamics stable without the complications of tracheal intubation.
文摘目的比较胸腔镜肺大泡切除术保留自主呼吸非气管插管全身麻醉与传统全身麻醉的费效。方法择期行胸腔镜肺大泡切除术患者60例,随机分为两组(n=30):传统全身麻醉组(T组)和非气管插管全身麻醉组(NT组)。T组常规全麻气管插管术后行单肺通气;NT组全身麻醉联合神经阻滞,保留自主呼吸。记录两组患者血气分析结果、术中及术后恢复情况、住院时间、术后48 h VAS评分及PCA次数。计算麻醉费用及住院总费用。结果与T组比较,NT组在关胸前和关胸后30 min时pH值降低,PCO2升高,关胸后30 min时氧合指数升高(P <0.05);与T组比较,NT组麻醉时间、定向力恢复时间和改良Aldrete评分≥9分时间、术后咽喉痛发生率、术后住院时间、术后6、12 h VAS评分及术后48 h PCA次数、麻醉费用及住院总费用均降低(P <0.05)。结论在充分考虑患者安全的前提下,与传统气管插管全身麻醉比较,非气管插管全身麻醉不仅有利于胸腔镜下肺大泡切除术患者术后转归,还可以改善费效。
