tailieunhanh - So sánh chất lượng hồi tỉnh của hai kỹ thuật “thoát mê” khi gây mê dòng thấp bằng Desflurane cho bệnh nhân phẫu thuật nội soi cắt ruột thừa

Bài viết trình bày so sánh chất lượng hồi tỉnh khi gây mê dòng thấp bằng Desflurane cho bệnh nhân phẫu thuật nội soi cắt ruột thừa khi thoát mê bằng hai phương pháp: Thoát mê từ từ (slow elimination: SE) và thoát mê nhanh (purging technique: PT). | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 151-158 COMPARISON OF RECOVERY CHARACTERISTICS WITH TWO DIFFERENT WASHOUT TECHNIQUES OF DESFLURANE ANAESTHESIA TO PATIENTS UNDERGOING LAPAROSCOPIC APPENDECTOMY Vu Xuan Quang E Hospital - 89 Tran Cung Nghia Tan Cau Giay Hanoi Vietnam Received 14 09 2023 Revised 30 09 2023 Accepted 30 10 2023 ABSTRACT Background Currently administering anesthesia to patients using Desflurane has become popular due to the numerous advantages of this anesthetic agent especially its short washout time attributed to its low blood-gas partition coefficient. This results in patients having a shorter period for extubation and a good quality of recovery. In clinical practice anesthesiologists often prefer to remove the endotracheal tube ETT promptly in the operating room. Therefore during the washout phase a high fresh gas flow FGF is used for rapid elimination of the anesthetic agent Purging Technique PT instead of maintaining a low FGF for a slower elimination Slow Elimination SE . In our study we hypothesize that maintaining a slow elimination SE of Desflurane will yield similar results in terms of extubation time and quality of recovery when compared to the high FGF elimination technique PT . Objective Comparison of recovery characteristics of slow elimination SE with purging technique PT when administering low-flow desflurane anesthesia to patients undergoing laparoscopic appendectomy. Methods We performed a double blind randomized study was conducted on 60 patients aged 18 to 60 years with ASA classification lt III who underwent laparoscopic appendectomy. The patients were randomly divided into two groups The SE group and the PT group. Both groups received low-flow Desflurane anesthesia following the protocol from induction to maintenance. During the washout phase the SE group maintained a low FGF of L minute while the PT group maintained an FGF of 8 L minute. The time for emergence and extubation emergence agitation .