巴马小型猪在达芬奇机器人手术系统中的麻醉管理

摘要

为探讨巴马小型猪在达芬奇机器人微创手术中的麻醉管理策略,以丙泊酚麻醉作诱导,异氟醚维持麻醉的复合麻醉方法对巴马小型猪进行全身麻醉,同时用达芬奇机器人对其分别进行心脏、肺脏、肝脏和胃的微创手术,于术前、术中及术后监测巴马小型猪动脉血气和血流动力学变化.结果各组试验猪均顺利完成手术,手术平均时间(166±34)min,麻醉时间(181±38)min,气胸(气腹)时间(122±33)min,在整个麻醉过程及苏醒过程中,各组试验猪安全平稳,未出现体动表现.由此可见,该麻醉方法可用于达芬奇机器人手术系统,且为人医临床应用中的麻醉管理奠定基础.%To investigate the Bama minipigs anesthesia management strategies in the da Vinci robotic operating system. The Bama minipigs were general anaesthesia with propofol as induction of anaesthesia combined isoflurane as maintain anesthesia, and then the Bama minipigs were minimally invasive surgery of the heart, lungs, liver and stomach by the da Vinci robotic operating system, in the preoperative, intraoperative and postoperative monitoring of the Bama minipigs arterial blood gas and hemodynamic changes. The results of the experiment pigs were the successful completion of the surgery, the mean operative time (166±34) min, anesthesia time (181±38) min, pneumothorax (pneumoperitoneum) time (12Z±33) min, and the entire anesthesia process and in the awakening process safe and stable group of pigs, performance did not appear to body movement. Thus, the anesthetic method could be used for the da Vinci robotic operating system, and human medical clinical application in anesthesia management foundation.