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  • Công bố khoa học và công nghệ Việt Nam

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Y học lâm sàng

Cao Thị Bích Hạnh, Phung Van-Bang(1)

Đánh giá tác dụng gây tê tủy sống bằng Levobupivacain kết hợp với Fentanyl trong phẫu thuật nội soi tán sỏi niệu quả ngược dòng

Evaluating the effect of levobupivacain spinal anaesthesia by combining fentanyl in upstream metanephric cobble umbel endoscopic operation

Y học Việt Nam

2015

1

175-178

1859-1868

Objectives: Evaluating the effect of Levobuplvacain spinal anaesthesia by combining Fentanyl when the authors have the upstream metanephric cobble umbel endoscopic operation. Methods: An advanced study, clinical trial experiment on 60 patients, age from 16 to 65 ASA 1,2 at the upstream metanephric cobble umbel endoscopic operation. Patients have been desensitized at L 4 - L5 positions, middle way, by Levobuplvacaln, dose 5mg/m height, combining 30 mcg Fentanyl (the total anesthesic drug Is not allowed over 10 mg). Evaluating the effect of inhlbitited feeling, movement, side effects. Results: Latent period of hurt inhibitited feeling of Levobupivacain level T8 is 76 +/- 1,54 minutes, the time for recovering feeling of Levobupivacain is 102,67 +/- 17,81 minutes, the time for reducing the effect of Levobupivacain is 145,8 +/- 26 minutes. Latent period of hurt inhibitited feeling of Levobupivacain at level 1 is 4,93 +/- 1,98 minutes. Levobupivacain has less influence on periodicity, breathing. Hopeless effect has not rarelly happened. Conclusions: With anesthesic drug dosage 0,05mg/cm or 5mg/m height of patients, combining 30 mcg Fentanyl is suitable for spinal anaesthesia to the upstream metanephric cobble umbel endoscopic operation.

TTKHCNQG, CVv 46