Total intravenous anaesthesia using low-dose ketamine infusion for caesarean section. A comparison with a standard inhalation anaesthetic technique.

作者: Mankowitz E , Downing Jw , Brock-Utne Jg , Maharaj Rj , Morrell Df

DOI:

关键词: AnesthesiaKetamineNitrous oxideDiazepamCaesarean sectionEnfluranePethidineMedicineAlcuroniumSurgeryInhalation

摘要: Anaesthesia was induced in 65 parturients undergoing elective caesarean section with thiopentone 3,5 mg/kg and suxamethonium 1,5 intravenously. For anaesthetic maintenance patients were randomly divided into two groups. Patients group A ventilated 50% nitrous oxide oxygen, supplemented 0,6-0,8% enflurane 50 mg pethidine given intravenously after delivery. Group B oxygen nitrogen received a continuous intravenous infusion of ketamine (70 micrograms/kg/min), 5 diazepam following All alcuronium 0,2 mg/kg. Inspired concentration (0,5) end-tidal carbon dioxide tensions (4,0-5,0 kPa), standardized. Despite high incidence predelivery hypotension but not B, the fetal acid-base status, materno-placento-fetal exchange immediate clinical state neonates comparable. Neonatal neurobehavioural assessment scores assessed 2-4 hours birth favoured inhalation technique, this difference disappeared at 24 hours. higher factual recall (14,3% v. 7,4%), frequently painful (10,7% 0%), reporting unpleasant dreams lack significant postoperative analgesia makes technique unsatisfactory.

参考文章(0)