Clinical observation of intravenous anesthesia with small doses of fentanyl plus propofol for termination of pregnancy
Wu Rongrong,Dai Xiuping,Tang Weilian et al (Dept of Anaesthesiology,The 1st Affiliated Hospital of Anhui Medical Uni versity,Hefei 230022)
Objective To investigate the possibility and security with small doses of fentanyl and propofol anesthesia for early pregnancy termin ation. Methods A total of 64 ASAⅠ~Ⅱearly pregnancy women were sched uled for this study. Before dilatating uterine cervit,fentanyl 1 μg/kg was inje cted per intravenous line followed by propofol 1mg/kg through iv slowly for indu ction. Then, according to the pregnancy women conditions to tolerate the operati on the anesthetics were added to maintain satisfactory anesthesia. During the op eration, the SBP, DBP, HR, SpO 2, times of vanishing and recovering, eyelash ja rk, doses and adverse reactions were recorded. Results During propofo l induction and operation, 42 case had loss ofconsciousnes s,but the other 2 2cases remained conscious with out complaints about pain .Intra pos to perative terms,nonausea and vomitting were observed .Other finding sincluded:BP declinein 62case ,lessthan 60 beat/minin 7cases,SpO2 lessthan 94%in 2 2cases,jawre laxin 7cases.After completion of operationallpa tient sgained consciousness(except for a few cases)fastranging from immediately to 7minas sessed by opening eyes,spontaneous wearete.Thetimeforhomereadinesswere 2 0 3 0min .Conclusion In travenousanes the sia with small doses of fentanyl and propofol for early termina tion pregnancyisa simple,safe and effective ane sthet icmethod.