Application of nonintubated intravenous anesthesia combined with local anesthesia in sympathetic nerve chain resection

医学 麻醉 插管 多汗症 局部麻醉 外科 交感神经切除术
作者
Wei Ding,Bowan Huang
出处
期刊:Chin J Postgrad Med 卷期号:39 (5): 415-419
标识
DOI:10.3760/cma.j.jssn.1673-4904.2016.05.008
摘要

Objective To investigate the effect of nonintubated intravenous anesthesia combined with local anesthesia on sympathetic nerve chain resection. Method One hundred and sixty palmar hyperhidrosis patients undergoing sympathetic nerve chain resection were divided into two groups, intubation general anesthesia (IGA) group and nonintubated intravenous anesthesia (NIA) group. The patients in IGA group were administrated with intubation general anesthesia. The patients in NIA group were administrated with nonintubated intravenous anesthesia. The physical signs, general anesthetics dosage, anesthesia time, hospital stays, hospitalization costs and postoperative complications were compared between two groups. Results In NIA group, the MAP after anesthesia , HR at 5 min and 10 min after anesthesia were lower than those in IGA group :MAP: (65.83 ± 12.53) , (68.19 ± 9.56), (69.72 ± 8.44), (68.58 ± 13.42) mmHg(1 mmHg = 0.133 kPa) vs. (98.47 ± 13.59), (93.53 ± 10.16), (86.13 ± 11.22), (81.52 ± 9.67) mmHg; HR:(76.36 ± 7.93), (78.42 ± 9.13) bpm vs. (102.67 ± 10.38), (97.66 ± 9.73) bpm, P 0.05). In NIA group, 8 patients needed artificial respiration, which were more than those in IGA group (8 vs. 0) (P 0.05). Conclusions Nonintubated intravenous anesthesia combined with local anesthesia is safe for palmar hyperhidrosis patients undergoing sympathetic nerve chain resection, with less complications and without increasing the workload. Key words: Hyperhidrosis; Hand; Sympathectomy; Anesthesia, general; Anesthesia, local; Intubation, intratracheal
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