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病人靶控输注瑞芬太尼气管插管的可行性 被引量：5

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摘要 对估计有气管插管困难的全麻病人，表面麻醉下清醒气管插管是预防呕吐和误吸的一种有效方法，但气管插管过程中剧烈的呛咳反应对病人的循环功能影响较大，临床上常复合芬太尼来减轻这类气管插管反应。瑞芬太尼是新一代阿片类麻醉性镇痛药，具有起效快、作用时间短、可控性强的优点，适合靶控输注（TCI），但TCI瑞芬太尼气管插管的可行性尚需进一步探讨。本研究拟观察病人TCI瑞芬太尼清醒气管插管的可行性。
作者 杨玲 刘保江 曹定睿
机构地区 山西医科大学第一医院麻醉科
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2006年第4期381-382,共2页 Chinese Journal of Anesthesiology
关键词 气管插管困难 瑞芬太尼 全麻病人 靶控输注 清醒气管插管 气管插管反应 麻醉性镇痛药 复合芬太尼 有效方法 预防呕吐
分类号 R614 [医药卫生—麻醉学] R971.2 [医药卫生—药品]
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参考文献10

  • 1Glass PS,Gan TJ,Howell S.A review of the pharmacokinetics and pharmacodynamics of remifentanil.Anesth Analg,1999,89 (4 Suppl):S7-14.
  • 2耿志宇,许幸,吴新民.瑞芬太尼复合异丙酚靶控输注诱导时的量效关系[J].中华麻醉学杂志,2004,24(4):260-263. 被引量：181
  • 3易杰,叶铁虎,罗爱伦,陈广俊,任洪智,黄宇光,郭向阳.两种靶控方法输注异丙酚和瑞芬太尼的安全性和有效性比较[J].中华麻醉学杂志,2004,24(3):183-186. 被引量：111
  • 4Chernik DA,Gilling D,Lane H,et al.Validity and reliability of theobserver's Assessment of Alterness /Sedation Scale:study with intravenous midazolam.J Clin Psychopharmacol,1990,10:244-255.
  • 5Davis PJ,Finkel JC,Orr RJ,et al.A randomized double-blinded study of remifentanil versus fentanyl for tonsillectomy and adenoidectomy surgery in pediatric ambulatory surgical patients.Anesth Analg,2000,90:863-871.
  • 6张国楼.全麻插管期心血管副反应的防治[J].临床麻醉学杂志,2001,17(12):673-673. 被引量：265
  • 7Glass PSA,Shafer SL,Reves JG.Intravenous drug delivery system.In:Miller RD,ed.Anesthesia.5th edn.New York:Churchill livingstone,2001.377-411.
  • 8Kato M,Komatsu T,Kimura T,et al.Spectral analysis of heart rate variability during isoflurane anesthesia.Anesthesiology,1992,77:669-674.
  • 9Howie MB,Cheng D,Nesman ME,et al.A randomized double-blinded multicenter comparison of remifentanil versus fentanyl when combined with isoflurane/propofol for early extubation in coronnary artery bypass graft surgery.Anesth Analg,2001,92:1084-1093.
  • 10Egan TD,Lemmens HJ,Fiset P,et al.The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers.Anesthesiology,1993,79:881-892.

二级参考文献25

  • 1Glass PS, Gan TJ, Howell S. A review of the pharmacokinetics and pharmacodynamics of remifentanil. Anesth Analg, 1999, 89(4 Suppl):S7-14.
  • 2Vuyk J, Mertens M J, Olofsen E, et al. Propofol anesthesia and rational opioid selection: determination of optimal EC50-EC90 propofal-opioid concentrations that assure adequate anesthesia and a rapid return of consciousness. Anesthesiology, 1997, 87: 1549
  • 3Vuyk J, Engbers FH, Burm AG, et al. Pharmacodynamic interaction between propofol and alfentanil when given for induction of anesthesia.Anesthesiology, 1996, 84: 288-299.
  • 4Smith C, McEwan AI, Jhaveri R, et al. The interaction of fentanyl on the Cp50 of propofol for loss of consciousness and skin incision.Anesthesiology, 1994, 81: 820-828.
  • 5V uyk J, Engbers FH, Lemmens HJ, et al. Pharmacodynamics of propofol in female patients. Anesthesiology, 1992, 77: 3-9.
  • 6Vuyk J, Lim T, Engber FH, et al. The pharmacodynamic interaction of propofol and alfentanil during lower abdominal surgery in women.Anesthesiology, 1995, 83: 8-22.
  • 7Thompson JP, Hall AP, Russell J, et al. Effect of remifentanil on the haemodynamic response to orotracheal intubation. Br J Anaesth, 1998,80: 467-469.
  • 8Schuttler J, Albrecht S, Breivik H, et al. A comparison of remifcntanil and alfcntanil in patients undergoing major abdominal surgery.Anaesthesia, 1997,52: 307-317.
  • 9Hogue CW, Bowdle TA, O'Leary C, et al. A multiconter evaluation of total intravenous anesthesia with remifentanil and propofol for elective inpatient surgery. Anesth Analg, 1996,83:279-285.
  • 10Sneyd JR, Camu F, Doenicke A, et al. Remifentanil and fentanyl during anaesthesia for major abdominal and gynaecological surgery. An open,comparative study of sffety and efficacy. Eur J Anaesthesiol, 2001,18:605-614.

共引文献538

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引证文献5

二级引证文献15

中华麻醉学杂志
2006年 第4期

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