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- W2374093054 abstract "Objective To observe the effects of pre-anesthetic volume expansion with gelofusine on hemodynamics in the elderly undergoing transurethral electrovaporization of prostate(TVP) during combined spinal-epidural anesthesia(CSEA).Methods Sixty aged patients(ASA Ⅰ-Ⅱ) undergoing selective TVP were randomly divided into two groups:group gelofusine(group G,n=30) and group Lactated Ringer,s Solution(group R,n=30).Before anesthesia,the patients were infused with 500 ml gelofusine(group G)or Lactated Ringer,s Solution(group R) respectively at the rate of 15 ml/(kg·h).CSEA were performed at L3-4 interspace.After anesthesia,fluid management was similar in both groups,the changes of SBP,DBP,MAP,HR,SpO2,CVP at time of 5,15,30,45 min after the anesthesia were observed in each group,and the incidence of hypotension and the side effects such as nausea and vomiting were compared.And the cases using ephedrine were recorded either.Results The levels of MAP and CVP of two groups increased after volume expansion,but remained within the normal range.The levels of MAP and CVP of group R were significantly less than those in group G during operation(P0.05).The incidence of hypotension and the number of cases using ephedrine of group R were significantly higher than those in group G(P0.05).Conclusions Pre-anesthetic volume expansion with gelofusine can not only maintain stable hemodynamics but also efficiently decrease the incidence of side effects in aged patients undergoing TVP during CSEA." @default.
- W2374093054 created "2016-06-24" @default.
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- W2374093054 date "2008-01-01" @default.
- W2374093054 modified "2023-09-24" @default.
- W2374093054 title "Effects of pre-anesthetic volume expansion on hemodynamics in the elderly undergoing TVP during combined spinal-epidural anesthesia" @default.
- W2374093054 hasPublicationYear "2008" @default.
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