Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladd

• 作 者: XIONG Yuan-chang XU Hua YANG Xiao-hu NI Wen MA Yu DENG Xiao-ming
• 机 构: Department of Anesthesiology, Changhai Hospital, Second Military Medical University, Shanghai 200433
• 出 处: 中国人民解放军军医大学学报（英文版）
• 发表日期: 2007年4期
• 关键词: laryngeal mask airway Propofol Remifentanil Rocuronium transurethral resection o

Objective: To observe the advantage of total intravenous anesthesia for transurethral resection of bladder tumor (TURBT). Methods: Sixty ASA Ⅰ-Ⅱ patients undergoing TURBT were randomly assigned to 2 groups. Spinal anesthesia with 0.75% pure bupivacaine (8-12 mg) was applied to patients in Group Ⅰ (n= 30). Patients in Group Ⅱ (n=30) received total intravenous anesthesia with continuous infusion of Propofol and Remifentanil; and a laryngeal mask was used to ensure the airway and ventilation. BP, HR, SPO2 and pertinent side effects were monitored and recorded. Results: The patients in group Ⅱ experienced more stable hemodynamics than those in group Ⅰ. Obturator nerve reflex was observed in 15 (50.0%) patients in Group Ⅰ, but none (0%) in Group Ⅱ (P＜0.01). Conclusion: Total intravenous anesthesia with laryngeal mask is a safe, reliable, controllable and simple manual for patient undergoing TURBT.