异丙酚加曲吗多静脉麻醉在危重病人纤维支气管镜检查时的应用

Clinical Application of Intravenous Anesthesia with Propofol and Tramadol in Intensive Patients Accepted Bronchofiberoscopy Examination

目的:观察异丙酚加曲吗多静脉麻醉在危重病人纤维支气管镜检查中的效果。方法:先用异丙酚1-2mg/kg加曲吗多2mg/kg静脉推注,病人入睡后,按异丙酚4-6mg·kg-1·h-1的滴速维持麻醉。结果:28例重症病人进行了纤维气管支镜检查和治疗,全部置管顺利,无喉痉挛,自主呼吸良好,血压心率平稳。停麻醉药后5min内苏醒。结论:异丙酚加曲吗多静脉麻醉用于危重病人的纤维支气管镜检查是一种比较安全有效的麻醉方法,其作用快、效果好、半衰期短、苏醒后无兴奋现象。

Objective: To observe the effects of the intravenous anesthesia with Propofol and Tramadol in intensive patients treated by bronchofiberoscopy. Methods: The patients were used intravenous injection with Propofol in 1-2 mg/kg and Tramadol in 2mg/kg, then were needed with Propofol in 4-6mg·kg-1·h-1 maintains after induction. Results: 14 intensive patients were treated by bronchofiberoscopy, placed the tube all smooth, had no spasm of throat, the independent breath were good, the blood pressure and heart rate were steady, waking up were appeared on 5 minutes after discontinue anesthesia. Conclusion: The intravenous anesthesia with Propofol and Tramadol for examination of bronchofiberoscopy in intensive patients, the action is quickly and effectively, the half-life period is short and have no excitophenomenon after waking up, is a safely anesthesia method.