全麻诱导插管期间听觉诱发电位指数和血流动力学的变化
Changes of auditory evoked potential index and hemodynamic index during intubation of general anesthesia induction
摘要
全身麻醉下患者是否存在意识问题一直受关注。有报道全麻术中知晓的发生率为0.0015%~0.2%,美国每年有3~4万例患者发生术中知晓,近年来逐渐引入听觉诱发电位(AEP)监测临床麻醉深度,通过听觉诱发电位指数(AAI)进行定量评估。本研究拟通过观察全麻诱导插管期间AAI和血流动力学的变化,探讨理想的插管条件及可能的心血管反应。
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2007年第4期462-463,共2页
Academic Journal of Second Military Medical University
参考文献5
-
1Oei-Lim V L,Dijkgraaf M G,de Smet M D,et al.Does cerebral monitoring improve ophthalmic surgical operating conditions during propofol-induced sedation[J]? Anesth Analg,2006,103:1189-1195.
-
2Alpiger S,Helbo-Hansen H S,Vach W,et al.Efficacy of A-line AEP Monitor as a tool for predicting acceptable tracheal intubation conditions during sevoflurane anaesthesia[J].Br J Anaesth,2005,94:601-606.
-
3Weber F,Zimmermann M,Bein T.The impact of acoustic stimulation on the AEP monitor/2 derived composite auditory evoked potential index under awake and anesthetized conditions[J].Anesth Analg,2005,101:435-439.
-
4Alpiger S,Helbo Hansen H S,Vach W,et al.Efficacy of the A-line AEP monitor as a tool for predicting successful insertion of a laryngeal mask during sevoflurane anesthesia[J].Acta Anaesthesiol Scand,2004,48:888-893.
-
5Nishiyama T,Hanaoka K.The A-line ARX index may be a more sensitive detector of arousal than the bispectral index during propofol-fentanyl-nitrous oxide anesthesia:a preliminary investigation[J].Can J Anaesth,2004,51:539-544.
-
1宋先荣,张咸虎,鲁应军.听觉诱发电位对异丙酚全静脉麻醉深度的临床评价[J].中国误诊学杂志,2005,5(9):1686-1686.
-
2颜景佳,柯国辉,曾景阳,李扬亿.靶控输注丙泊酚复合瑞芬太尼在40例乳腺手术中的应用[J].福建医药杂志,2010,32(3):12-13. 被引量:2
-
3林全阳,马保新,沈薇,郑青麒,张进.听觉诱发电位指数监测患者吸入异氟醚麻醉深度的准确性[J].中华麻醉学杂志,2008,28(2):115-117.
-
4康芳,王瑞婷,方才,潘建辉,杨佳.老年人异丙酚靶控输注时AAI与Ce的变化[J].山东医药,2009,49(24):19-21. 被引量:3
-
5李欣,朱鹤,段卫东.老年人全麻恢复期听觉诱发电位指数和脑电双频指数监测及分析[J].山东医药,2008,48(35):47-48. 被引量:2
-
6罗国万,胡礼宏,韩新生.脑电双频谱指数与听觉诱发电位指数用于神经外科术中唤醒的比较[J].实用医学杂志,2013,29(5):764-766. 被引量:6
-
7刘白莎.全麻术中知晓的原因分析及预防[J].中国误诊学杂志,2003,3(3):387-387. 被引量:3
-
8田洪忆.全麻术中知晓的探讨[J].浙江医学,1998,20(6):366-367. 被引量:2
-
9曾毅,陈绍洋,于晓荣,熊利泽,黄怡,林菁菁.听觉诱发电位指数指导全凭静脉麻醉期间病人输注异丙酚的效果[J].中华麻醉学杂志,2006,26(11):969-972. 被引量:6
-
10张士刚,王继跃,郝华,孙明,王东臣.脑干听觉及体感诱发电位对重型颅脑损伤病人预后的判断[J].中华神经医学杂志,2005,4(5):479-481. 被引量:4