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Date Published: 05/11/2020
Abstract Views: 320
Views PDF: 171
DOI: https://doi.org/10.47972/vjcts.v22i.428
Issue
Vol. 22
Section
Research Article
How to Cite
Hien, V. V. ., Giang, N. T., Vien, M. V., Nam, N. V. ., & Kien, N. T. (2020). Anesthesia without muscular relaxants and univent tube intubation for thoracoscopic thymectomy in my asthenia gravis patients. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 22, 100-108. https://doi.org/10.47972/vjcts.v22i.428

Anesthesia without muscular relaxants and univent tube intubation for thoracoscopic thymectomy in my asthenia gravis patients

Vo Van Hien, Nguyen Truong Giang, Mai Van Vien, Nguyen Van Nam, Nguyen Trung Kien

Main Article Content

Abstract

90 MG patients (class I, IIA, IIB – according to the clacssification of Perlo- Ossermann) undergoing thoracoscopic thymectomy randomly divided into 2 groups. Propofol TCI group (45 patients) were anesthetized with propofol TCI and sevoflurane group (45 patients) were anesthetized with sevoflurane.


1. Both methods of induction by sufentanil (0.5µg/kg) with propofol TCI (Ce: 5μg/ml) or MCI (inject by hand) (2 to 2.5mg/kg) had a good and safe anesthetic effect. All patients were intubated Univent tubes successfully.


2. Sufentanil was infused with the rate of 0.2μg/kg/h in combination with propofol TCI (Ce = 3.5-4.5μg/ml) or with sevoflurane (1-1.5MAC) to ensure effective and safe anesthesia. Hemodynamic and respiratory funtion were maintained stabitility. Surgeons were satisfied with the anesthesia method applied in both groups.


3. All the patients met the criteria for extubation immediately at the end of surgery in the operating room. Respiratory funtion for the first 72 hours after surgery was normal. Airway injuries (21.11%) including sore throat and hoarseness. Lesions were determine through laryngotracheal endoscopic include: congestion and edema. The lesions of the airway were mild, narrow and lasted no longer than 3 days postoperative. 

Article Details

Keywords

Mysthenia gravis, propofol TCI, sevoflurane, muscle relaxant.

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