快通道麻醉在心脏直视手术中的临床应用

Clinical application of fast track anaesthesia in cardiac surgery

目的:总结快通道麻醉在心脏直视手术中的临床应用。方法:31例心脏直视手术全部使用快通道麻醉方法,采用舒芬太尼、瑞芬太尼、丙泊酚、七氟醚、万可松静吸复合麻醉。结果:主动脉开放后心脏自主复跳19例,电击复律12例,28例术后6 h内拔除气管插管,无二次插管。结论:快通道麻醉术中循环稳定,术后苏醒快,是心脏直视手术的理想麻醉方法。

Objective To summarize the experience of fast track anaesthesia in cardiac surgery. Method Treated 31 patients with fast track anaesthesia sustained by Sufentanil, Remifentanil, Propofol, Sevoflurane, Vecuronium. Results After aortic undamped, 19 patients had heart resuscitation, 12 patients had heart resuscitation after electric defibrillation. The tracheal intubation of 28 cases （91% ） were pulled out within 6 hours after surgery,without secondary intubation, all of whom were recovered. Conclusion Patients fast track anaesthesia surgery have stable circulation, rapid recovery after surgery. It is effective in cardiac surgery.