瑞芬太尼全凭静脉麻醉的临床应用

The Clinical Application of Total Infusing Remifentanyl Anesthesia

本文是我院瑞芬太尼-丙泊酚全凭静脉麻醉或复合硬膜外阻滞临床实践的总结。内容凸现了小剂量协同用药的特色。在这一原则的指导下，文章介绍了各类手术的最适切入剂量和瑞芬太尼-丙泊酚静脉麻醉诱导，维持过程中克服循环抑制的各项措施；文章同时介绍了临床常用的中效非去极化肌松剂如何与之匹配应用的问题；文章还报道了瑞芬太尼与丙泊酚混合应用的可行性研究以及适应各类手术的组方：为了方便基层应用，还介绍了剂量-容量转换的规律及静滴应用的配方。

This article was our generalization of clinical practice about total infusing remifentanyl-propofol anesthesia or general-epidural combined anesthesia. It was manifested by the characteristic of small dosage of medicine working in coordination. With the direction of this principle, we recommended the lest and the most suitable dosage of remifentanyl-propofol at varies operations, and how to overcome the circulation depression during inducing or maintenance period; In this article we introduced how to apply those medicine when use with non-depolarized muscle relaxant; We reported in this article the feasibility studies about application of remifentanyl mixed up with propofol, and introduced some combination adapted to varies operations. We also introduced the conception of volume constant and recommended a formula which could be applied to intravenous infusion in order to make usino convenient for the basic level hospital.