01:54,4,Jan,2006 | (784/0/0) | Original
Note: The trackback url will expire after 23:59:59 today
Note: The trackback url will expire after 23:59:59 today
Similar documentsã€‘ ã€China Academic Journal ago 10 1 Huqing wide;; BiPlane measuring mitral valve area of clinical application [J]; Chinese contemporary medicine; 2010 04 2 Zhang Dongmei;; dumb valvular heart disease misdiagnosed 14 cases [J]; of Misdiagnosis; 2010 06 3 Zheng Hongyan;; infective endocarditis in 1 case [J]; Chinese Medicine; 2010, 02 4, and the Chi Teng; Wangxiang Li; Dong Wentao; Wang Xiaokang ; Chen Yan; Guo Zhiyong;; rheumatic mitral stenosis with pulmonary hypertension Treatment of 68 cases [J]; Chinese Journal of Practical Medicine; 2010 06 5 Wood Hu put teeth; Muslim co-Tal; Roh Moo-Hong; Tao Lin; Liu Zhiqiang; He Pengyi;; normal coronary arteries of patients with chest pain etiology [J]; Xinjiang Medical; 2010 01 6 Zhang group; Lu Fang; Zhang Xiaochun;; Echocardiographic evaluation of mitral valve replacement on left ventricular function [J ]; in Cerebrovascular Disease; 2010 03 7 Chen Xian; Tang Baiyun; Zhang Xi; Wang Zhiping; Liu; Wuzhong Kai;; heart valve replacement surgery earlier bipolar radiofrequency ablation for atrial fibrillation [J]; Journal of Thoracic and Cardiovascular Surgery; 2010 01 8 single-Magnolia;; anesthesia combined with epidural anesthesia for thoracic surgery clinical observation [J]; Medical Forum; 2010 08 9 Shang Di;; epidural anesthesia in cesarean section application and comparison [J]; Chinese contemporary medicine; 2010 07 10 Man Lanying;; misoprostol and fentanyl citrate and propofol without pain abortion observation [J]; modern medical and health; 2010, 06 of China's important conference papers full text database ago 10 1 Chen Qiang;; true dextrocardia in 6 cases [A]; 12th South China International Congress of Cardiology Conference Digest [C]; 2010 2 Gulinaer white Torah; Yang Yining; Wu Yun; to pay real-yin; Xie Xiang; MA Yi-tong;; percutaneous balloon mitral dilatation cardiac ultrasound index [A]; 12 session of the South China International Congress of Cardiology Special Issue [C]; 2010 3 Sheng country too; Hongming; weeks of American loyalty; Li Huatai;; percutaneous balloon mitral valvuloplasty indications of [A]; s The 12th South China International Congress of Cardiology Special Issue [C]; 2010 4 high evergreen; Yang Ming; Wang Gang; Shaw pine; Wu Yang; Wang Rong; Wang Ghali; Li-Xia Li; Yue Zhao; Li Jiachun; Zhou Qi;; the whole machine people do not or thoracotomy mitral valve replacement [A]; 12th South China International Congress of Cardiology Special Issue [C]; 2010 years 5 Wang Qiguang; Zhu Xianyang; Hanxiu Min; Zhang Duanzhen; Shengxiao Tang; Chun-Sheng Cui; Chang Po; full Wei; Liu Yang;; complex congenital heart malformations intervention [A]; 11th South China International Congress of Cardiology Special Issue [C]; 2009 6 Chen Qiang; flood wave; Wang; Yinqiu Lin ; Lai Heng Li; Lu Linxiang;; balloon dilation of rheumatic mitral stenosis and tricuspid regurgitation in patients with recent mid-term efficacy of [A]; 1
Abstract: Objective To study the continuous infusion of dopamine for patients with severe mitral stenosis induction of anesthesia to maintain stable security of circulatory function. Methods of severe mitral valve replacement in patients with mitral stenosis in 20 cases. Randomly divided into 2 groups. â… group simply using midazolam, fentanyl and droperidol rocuronium induced; â…¡ group before the induction of intravenous dopamine infusion pump input 3Î¼gkg ^-1min ^ -1, then midazolam, fentanyl and droperidol rocuronium induction. Before induction, after drug administration, immediately after intubation, 2,5,10 min after intubation, respectively, monitoring of blood pressure, heart rate, blood oxygen saturation. Results of dopamine in patients blood pressure was not obvious after induction of anesthesia, heart rate and blood pressure after tracheal intubation, heart rate changed little. The control group after induction of anesthesia, blood pressure, heart rate decreased and slowed down; and tracheal intubation, blood pressure, heart rate increase and speed up significantly. Conclusion before induction of anesthesia dose dopamine infusion to maintain hemodynamic help to maintain stability. Number of pages: 3 pages :260-261 range, F0004 page Keywords: severe mitral stenosis induction of dopamine subject classification: R614 [medicine, HEALTH "outside SCIENCES" surgical operation> Anesthesiology] Related Articles: Topics Related references (5) citations (1)
1, pathophysiological characteristics
(1) lack of left ventricular filling, limiting adequate cardiac output.
(2) both left atrial pressure and volume overload.
(3) pulmonary hypertension.
(4) due to pressure overload induced right ventricular dysfunction failure.
(5), accompanied with atrial fibrillation, some of thrombosis.
2, the anesthetic management principles
(1) to prevent tachycardia, tachycardia, diastolic time is short, but also reduce left ventricular filling, cardiac output to decline further.
(2) to prevent bradycardia, cardiac output per
(3) increased pressure on the right and left low cardiac output to the heart of resilience is very small, or liquid drugs enter, regardless of quantity and speed should be extra careful
(4) Unless the blood pressure decreased significantly, generally do not have positive inotropic drugs, there is little help because not only be harmful.
(5) blood pressure decreased significantly, in order to ensure an adequate supply of aortic diastolic coronary blood flow, application of vasopressors.
(6) atrial fibrillation with rapid ventricular rate, heart rate control with digitalis.
(7) to maintain adequate blood volume, but to pay attention to input and speed, to prevent pulmonary edema.
(8) change of position sensitive patients should be slowly implemented.
(9) may take some time after mechanical ventilation