ĐÁNH GIÁ SỰ THAY ĐỔI HUYẾT ĐỘNG, TÁC DỤNG KHÔNG MONG MUỐN CỦA PHƯƠNG PHÁP GÂY MÊ TĨNH MẠCH CÓ KIỂM SOÁT NỒNG ĐỘ ĐÍCH CHO NỘI SOI TÁN SỎI NIỆU QUẢN NGƯỢC DÒNG TẠI TRUNG TÂM KỸ THUẬT CAO VÀ TIÊU HÓA HÀ NỘI

Abstract

Intravenous anesthesia with propofol TCI together with LMA ventilation has many advantages compared to propofol without TCI. It can apply to medium and short urological procedures for outpatients, with pretty high efficiency. Randomized  controlled  clinical  trials.  At the Hanoi High Tech and Digestive Center, Saint Paul General Hospital from February 2021 to October 2021, 120 ASA I/II patients are selected to undergo ambulatory  urological  procedure,  then  randomly  divided  into  2  groups.  Group  1  in (60  patients)  were  received intravenous  anesthesia  with  target  controlled  infusion  (TCI)  propofol.  Group  II  (60 patients)  were  received propofol through electric syringe pump. According to our research: The mean reduction in heart rate of the 2 groups was 24.2±9.6% and 26.4±9.8% in the order TCI/BDR. The number of cases of lowering blood pressure and the number of cases requiring ephedrine to raise blood pressure were significantly higher in the DR group than in the TCI group: 30 cases (50%) compared with 18 cases (30%) and 23 cases (38.3%) ) compared with 12 cases (20%). The sedation score when returning to the recovery room in the control group was higher than the target concentration control group: 4.5 ± 0.7 points compared to 4.2 ± 0.6 points (p<0.05). There was no difference in adverse events and postoperative complications between the 2 study groups.