JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 62-64.doi: 10.6040/j.issn.1673-3770.0.2015.034

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Effects of total intravenous anesthesia on the bleed volume during endoscopic sinus surgery.

WANG Honggeng1, CHEN Dongsheng2, LIN Qun3, HUANG Fang4, HONG Yuming4, HUANG Jianqiang4   

  1. 1. Department of Anesthesiology, The Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian, China;
    2. Department of Anesthesiology, Fuzhou General Hospital of Nanjing Millitary Command, Fuzhou 350000, Fujian, China;
    3. Department of Anesthesiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, Fujian, China;
    4. Department of Otolaryngology, The Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian, China
  • Received:2015-01-13 Revised:2015-06-11 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To explore the effect of total intravenous anesthesia on the bleed volume during endoscopic sinus surgery. Methods A total of sixty adult patients(ASAⅠ-Ⅱ), agreed to be on electively endoscopic sinus surgery, were randomly divided into two groups(group A and group B, n=30 each). All patients were injected intravenously with fentanyl, propofol and cisatracurium during the induction of general anesthesia. During the maintaince stage of the general anesthesia, patients in group A were injected intravenously with propofol and patients in group B were inhalated with sevoflurane until 5 minutes before the end of the operation. All patients were monitored with arterial blood pressure, were hepervolumic diluted and were performed with controlled hypotention 15 minutes before the operation. The arterial blood gas, blood lactate and coagulation function were monitored 30 minutes before the operation(T0), 30 minutes(T1) and 90 minutes after the operation (T2) and 30 minutes after the end of the operation(T3). Bleed volume and operation duration were recorded at the end of the operation. Results Comparing with those at T0, there was no significant difference in the arterial blood pressure, blood lactate and coagulation function at T1, T2 and T3. Bleed volume in group A was few than that in group B(P<0.05). There was no significant difference in the operation duration between the two groups. Conclusion During the endoscopic sinus surgery with intravenous anesthesia, the bleed volume is few than that with inhalation anesthesia.

Key words: Bleed volume, Endoscopic sinus surgical procedures, operative, Intravenous anesthesia, Controlled hypertension

CLC Number: 

  • R765.9
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