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Hemodynamic stability in total intravenous propofol anesthesia with midazolam coinduction versus general balanced anaesthesia in laparoscopic cholecystectomy

机译:腹腔镜胆囊切除术中咪达唑仑联合全静脉麻醉与全身平衡麻醉下丙泊酚全静脉麻醉的血流动力学稳定性

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Background/Aim. Laparoscopic cholecystectomy can be a greater challenge for anesthesiologist than for surgeon if the patient is ASA III with concomitant cardiovascular diseases. The aim of our study was to compare the effect of total intravenous anesthesia (TIVA - propofol with midazolam) and general balanced anesthesia (GBA - midazolam, thiopenton, nitrous oxide and O2) on hemodynamic stability in the ASA III patients who underwent laparoscopic cholecystectomy. Methods. In our study, 60 patients were randomized into two groups depending on whether they received TIVA or GBA. Heart rate, systolic, diastolic and mean arterial pressure were monitored continuously and recorded in five time intervals. Results. Statistical analysis showed that TIVA with propofol provides better hemodynamic stability (less than 10% deviation from basal values for each measured parameter) then GBA group (p
机译:背景/目标。如果患者是伴有心血管疾病的ASA III,那么腹腔镜胆囊切除术对麻醉医师的挑战要比对外科医师更大。我们的研究目的是比较接受腹腔镜胆囊切除术的ASA III患者的全身静脉麻醉(TIVA-异丙酚与咪达唑仑)和全身均衡麻醉(GBA-咪达唑仑,硫喷妥酮,一氧化二氮和O2)对血液动力学稳定性的影响。方法。在我们的研究中,将60例患者根据接受TIVA还是GBA分为两组。连续监测心率,收缩压,舒张压和平均动脉压,并在五个时间间隔内记录。结果。统计分析表明,与异丙酚相比,含异丙酚的TIVA具有更好的血液动力学稳定性(每个测量参数与基础值的偏差小于10%)(GB

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