1 MAC-incision sevoflurane prevents explicit awareness during surgical skin incision and tracheal intubation

被引：10

作者：

Mollestad, KE ^{[1
]}

Heier, T ^{[1
]}

Steen, PA ^{[1
]}

Raeder, JC ^{[1
]}

机构：

[1] Univ Oslo, Ulleval Hosp, Dept Anesthesia, Oslo, Norway

来源：

ACTA ANAESTHESIOLOGICA SCANDINAVICA | 1998年 / 42卷 / 10期

关键词：

anesthetics; volatile; sevoflurane; memory; awareness; anesthesia depth; MAC-awake; MAC-incision;

D O I：

10.1111/j.1399-6576.1998.tb05274.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background: This study tested the hypothesis that 1 MAC-incision anesthesia secures unconsciousness during surgical skin incision and tracheal intubation. Methods: Twenty patients scheduled for gynecological laparotomy were anesthetized with sevoflurane as the sole agent. At 1 MAC-incision steady-state conditions, the patients were observed for autonomic/movement responses and wakefulness (response to verbal commands) in the 1-min period following surgical skin incision and tracheal intubation. Results: Blood pressure and heart rate increased significantly secondary to both stimuli, and significantly more after tracheal intubation than skin incision. Ten and 19 patients moved in response to skin incision and tracheal intubation, respectively. None of the patients showed wakefulness. Conclusion: It is concluded that 1MAC-incision sevoflurane secures unconsciousness during surgical skin incision and tracheal intubation.

引用

页码：1184 / 1187

页数：4

共 29 条

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[24] Prediction of Blood Pressure Changes During Surgical Incision Using Minimum Evoked Current of Vascular StiTness Value Under Sevoflurane Anesthesia
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