CAJ | 학술논문

目的：探讨顺式阿曲库铵预注射联合无通气快速诱导用于全麻剖宫产术的安全性和可行性。方法拟行全麻下剖宫产手术的产妇22例，诱导前给予1/8-1/10诱导剂量的顺式阿曲库铵预注射，面罩吸入纯氧3min后行静脉快速诱导，诱导期间不实施正压辅助通气，观察并记录诱导前后HR、SpO2、BP的变化及诱导过程中呛咳、呕吐、返流、误吸发生率。结果T0、T1、T2与T3各时点的SpO2分别为(96.57±0.61)%、(98.78±0.42)%、(97.94±0.35)%和(99.63±0.14)%。诱导过程平稳，气管插管前后SpO2无显著变化；诱导过程中无缺氧、呕吐、返流、误吸发生，且插管条件较为理想。结论对拟行全麻剖宫产的非困难气道产妇，采用顺式阿曲库铵预注射联合无通气快速诱导技术是安全、可行的。
목적：탐토순식아곡고안예주사연합무통기쾌속유도용우전마부궁산술적안전성화가행성。방법의행전마하부궁산수술적산부22례，유도전급여1/8-1/10유도제량적순식아곡고안예주사，면조흡입순양3min후행정맥쾌속유도，유도기간불실시정압보조통기，관찰병기록유도전후HR、SpO2、BP적변화급유도과정중창해、구토、반류、오흡발생솔。결과T0、T1、T2여T3각시점적SpO2분별위(96.57±0.61)%、(98.78±0.42)%、(97.94±0.35)%화(99.63±0.14)%。유도과정평은，기관삽관전후SpO2무현저변화；유도과정중무결양、구토、반류、오흡발생，차삽관조건교위이상。결론대의행전마부궁산적비곤난기도산부，채용순식아곡고안예주사연합무통기쾌속유도기술시안전、가행적。
Objective To investigate the safety and the feasibility of applying cisatracurium pre-injection combined with no ventilation during rapid sequence induction of anesthesia in patients undergoing caesarean section. Methods 22 pregnant women undergoing caesarean section under general anesthesia were pre-injected cisatracurium 0.02mg/kg and inhaled 100% oxygen via face mask for 3 min without positive-pressure ventilation before induction of anesthesia. HR,SpO2,BP,ECG were monitored be-fore,during and after the induction. The incidence of bucking,vomiting,regurgitation and aspiration were recorded. Results The SpO2 at T0、T1、T2 and T3 are(96.57±0.61)%,(98.78±0.42)%,(97.94±0.35)%和(99.63±0.14)%. There were no significant changes on SpO2 and no hypoxia, regurgitation and aspiration took place in any cases. The intubation was ideal. Conclusion The technique of applying cisatracurium pre-injection combined with no ventilation during rapid sequence induction of anesthesia on the patients undergoing caesarean section is safe and feasible.