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- W2379384298 abstract "Objective To investigate the possibility of reducing the haemorrhage and affording clear condition for meningioma resection under microsurgery by isoflurance-fentanyl general anesthesia combined with nitroglycerin-controlled hypotension and acute hypervolemic hemodilution (AHH). Methods Forty patients receiving meningioma resection under microsurgery were randomly divided into two groups. Group I was nitroglycerin-controlled hypotension combined with acute hypervolemic hemodilution (AHH). Group Ⅱ was control group which used AHH only and did not use controlled hypotension. All patients were induced with propofol、innovar、atacurium, mechanically ventilated after tracheal intubation by mouth. All patients were maintained anesthesia with isoflurance, fentanyl, midazolam and atracurium. Monitoring mean artery pressure (MAP), central venous pressure (CVP), SpO_2, ECG, Hct and Hb,analysing the arterial blood gas and lactic acid concentration, comparing the amount of blood loss, blood transfusion、urine and the operation time. Results All operations were finished successfully and all patients’ condition were steady. It was no significantly difference of arterial blood gas and lactate acid concentration between two groups. The amount of blood loss、blood transfusion and the operation time in group Ⅰ was less than that in group Ⅱ, the urine output of group Ⅰ was more than group Ⅱ. Conclusion The method selecting isoflurance-fentanyl general anesthesia combined with nitroglycerin-controlled hypotension and AHH can ensure brain perfusion and brain oxygen supply effectively, reduce the amount of blood loss and blood transfusion obviously, afford clear condition, satisfy the need of meningioma resection under microsurgery." @default.
- W2379384298 created "2016-06-24" @default.
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- W2379384298 date "2006-01-01" @default.
- W2379384298 modified "2023-09-24" @default.
- W2379384298 title "The anesthesia manage of meningioma resection under microsurgery" @default.
- W2379384298 hasPublicationYear "2006" @default.
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