Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladder tumor

摘要

Objective:To observe the advantage of total intravenous anesthesia for transurethral resec- tion of bladder tumor(TURBT).Methods:Sixty ASAⅠ-Ⅱpatients undergoing TURBT were randomly assigned to 2groups.Spinal anesthesia with 0.75% purebupivacaine(8-12mg)was applied to patients in GroupⅠ(n=30).Patients in GroupⅡ(n=30)received total intravenous anesthesia with continuous in- fusion of Propofol and Remifentanil;and a laryngeal mask was used to ensure the airway and ventilation. BP,HR,SPO_2 and pertinent side effects were monitored and recorded.Results:The patients in groupⅡexperienced more stable hemodynamics than those in groupⅠ.Obturator nerve reflex was observed in 15 (50.0~%)patients in GroupⅠ,but none(0%)in GroupⅡ(P<0.01).Conclusion:Total intravenous anesthesia with laryngeal mask is a safe,reliable,controllable and simple manual for patient undergoing TURBT.