ﻣ Research & Scientific Journal of Ardabil University of Medical Sciences & Health Services ١٣٨٢ Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019 Vol 2, No 8, Jun-Sep 2003 ﺪ ١ ﺛﺮ ﺧﻮﻳﻲ ﺣﺠﻢ ﭘﻨﻮﻣﻮﭘﺮﻳﺘﻮ ﻦ ﺑﻪ ASA II ٦٠ I ﺣﻴﻦ ـﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ٣٠ (American Society of Anesthesiology) ﺑﻴﻬﻮﺷﻲ ﻋﻤﻮﻣﻲ ﺑﺎ ﻟﻮﻟﻪ ﺗﺠﻮﻳﺰ ﺑﻴﻨﻲ ﺗﺤﻠﻴﻞ ﺷﺪ EPI-5 ﻂ %٥٠ student t ) ﻳﺎﻓﺘﻪ ﻫﺎ ( N 2O () ﻣﻘﺎﻳﺴﻪ (p=٠/٠٢) ﻪ )ﻫﺮ ﭼﻨﺪ ﻛﻪ ﺟﻬﺖ ﺗﻮﺻﻴﻪ ﻣﻲ,(,, - -۱
١٣٨٢ ۸ ﻣﺠﻠﻪ ﻋﻠﻤﻲ ﻣﻘﺪﻣﻪ ] [٦-٩ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻪ ﺗﻮﺳﻌﻪ ﺑﻪ ﺑﺎﺷﺪ ﺼﻲ ﻪ (] -١٠ ٤ [٨ ] [١١-١٤ ﺑﺎ ﺣﻔﻆ ﻋﻤﻖ ﻛﺎﻓﻲ ﺑﻴﻬﻮﺷﻲ ] [١ ﺑﻲ ﭘﺎﻳﻴﻦ ) (Trendelenburg ﺷﻮﻧﺪ ٦٠ ] [٢ ١ ﺳﻴـﺴﺘﻤﻴﻚ ﺗﻬـ ) ( >٥٠mmHg ﻣﻲ ﺑﺮ ﺳﻴﺴﺘﻢ ﻗﻠﺒﻲ - ـﻢ ﺑﺮ ﺳﻨﻴﻦ ﺑﻴﻦ ٢٢-٤٢ ـﻲ ﺳﺒـﺐ ﻫﻴﭙـ ﻛﻪ ﻪ I ﻳﺎ II ﻖ ﺑﻪ ﻣﺴﺘﻘﻴﻢ ﻣﺴﺘﻘﻴﻢ ﺗﺤﺮﻳﻚ ﻣﻄﺎﻟﻌﻪ ﻖ ﺷﺪﻧﺪ ( ﺗﺄﺛﻴﺮ ﻣﻲ ASA ﺘ ] [٢ ٢/٥-٥ mg ) ١-٢ml ٥٠-١٠٠ μg ﻓﻨﺘﺎﻧﻴﻞ( ) (Paco2 > 60 mm Hg ﻣﻌﻤﻮﻻ ـﻦ ﺑﻴﻬﻮﺷـﻲ ) (١ mg/kg ) (٤mg/kg ﻟﻮﻟﻪ ﻃﻲ ﺑﻴﻬﻮﺷﻲ ﻔﺲ ١٢-١٤ ١٠-١٢ ml/kg ١-١/٥ ١MAC ﺑﻪ ﻋﻼ ﻣﻘﺎﻳﺴﻪ ) ] [٢-٤ MAC ﻟﻮﻟﻪ %١٠٠ ( %٥٠ ( ﺟﻬﺖ ﺷﻠﻲ ﻋﻀﻼﻧﻲ ٠/٢-٠/٣ mg/kg ﺷﺪ ] [٥ ٤ ﺣﺮﻛﺖ ﭼﺸﻢ 1- Minimum Alveolar Concentration Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019 ﻟﻮﻟﻪ ﻫﺎ )ﻛﻪ
۹ ﺗﻌﺮﻳﻖ( g/kg ﺷﺪ] [٤ ١-٢ ﻓﻨﺘﺎﻧﻴﻞ ﭘﺎﻳﻴﻦ ) ١٠-١٥ (Trendelenburg ﺷﺮﻳﺎﻧﻲ ECG ( ﻓﺸﺎ, ﻏﻴﺮ ﻃﺒﻴﻌﻲ ECG (٣ Cap Cardio ﮔ ۱ ﺑﻪ ﺷﻜﻢ ﻧﺘﺎﻳﺞ ﻣﺘﻐﻴﺮ Insufflator ﺳﻦ ) ﻣﻴﺎﻧﮕﻴﻦ ﻜﻢ ﻦ ﺑﻴﻬﻮﺷﻲ ﻫﺮ ٥ PACU ــ ﻧﺘﺎﻳﺞ ﺑﺎ ۲۹/۰۹ ۵/۶۵ ۲۸/۳۲ ۴/۸۴ ۰/۵۷ ) (Kg ﺳﻨﺠﺶ ﺷﺪ ١ P ۶۱/۵۳ ۹/۲۴ ۶۲/۱۴ ۱۰/۰۴ ۰/۸۰ )ﻟﻴﺘﺮ( student t EPI-5 ﺗﺤﻠﻴﻞ ﺷﺪﻧﺪ ﻞ ۵/۴۱ ۱/۹۱ ۰/۴۱ (cmh2o) ﻳﺎﻓﺘﻪﻫﺎ ﺮ ﻣﺘﻐ ۵/۰۳ ۱/۶۶ ﻘﺎﻳﺴﻪ ﺑﻪ ﺷﻜﻢ ۱۷/۸۱ ۴/۶ ۲۱/۵ ۵/۷ ۰/۰۹ ۱۷/۷۵ ۸/۳ ۲۲/۳۲ ۱۰/۱ ۰/۰۶ ﺷﻜﻤﻲ ﮔﺎ (١ ۲ ﻣﻴﺎﻧﮕﻴﻦ ﻧﺘﺎﻳﺞ ﻣﺘﻐﻴﺮ p ۲۶/۴۴ ۲۷/۳۷ ۱۲/۱ ۹/۸ ۰/۷۴ ۱۶/۲۶ ۱۵/۸۵ ۸/۲ ۸/۸ ۰/۸۵ ۲/۳۳ ۱/۳۱ ۲/۸ ۱/۰ ۰/۰۷ ۳۶/۶۳ ۶۳/۷۹ ۳۳/۴ ۲۹/۷ ۰/۰۲ 1- Post Anesthetic Care Unit Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019 ﺑﺎ (٢ ﻫﺮﭼﻨﺪ
١٣٨٢ ۱۰ ﻣﺠﻠﻪ ﻋﻠﻤﻲ ﻣﺎﻧﻨﺪ ﻛﻮﻟﻪ ﻳ ﺟﻤ ﻳﻨ (٢ ] [٥ ٤ ٢ ﻣﻴﺎﻧﮕﻴﻦ ﻛﻪ %٣٦/٦٣ ) ) (P=٠/٠٢ ﻣﺴﺎﻳﻞ ﻋﻤﺪ - ﺗﺠﺮﺑﻲ ﺑـ ـﺮ %٦٣/٧٩ (٢ ٣٠ ] [٧ ٦ ٤ ٣ (٣ ٣ PACU )ﺑﻪ ﺗﺮﺗﻴﺐ ٥٠ ١٢ ١٨٠ ٣٠ () (P <٠/٠٠١ ۳ ] [ ٧ ٤ ECG ﻣﻄﺎﻟﻌﻪ ﻣﺘﻐﻴﺮ (%) ECG ﺲ ) PACU ] [١٠ ٤ ﮔﺮﭼﻪ ) ۱٢( ٢٠ ) ١٦(٢٦/٦ ۰ ۰ ٥٠ ١٢ ١٨٠ ٣٠ ] [ ٥ ٤ ٢ ﻣﻌﺎﻳﺐ ] [٢ ﻫﺎ ﺑﻪ ] [ ٨ ٦ ٤ ٣ ﺑﺤﺚ ١٠٠ ﻫﺎ ) -٢٠٠ ٤ ﺳﺎﻋﺖ( ﻫﺎ] [٩ ] [١١ ٤ ١٩٠٠ ١٩٧٠ ﻳﻨ ] [١ ﻣـﻲﺑـﺎﺷــﺪ] [١٣ ١٢ ٥ ٤ ٢ Co2 ﺗﺎﺛﻴﺮ ] [٦ Co2 Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019
۱۱ ﻧﻤﺎﻳﺪ ٥ [١٣] ﻃﻲ ﺑﻴﻬﻮﺷﻲ Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019 ﺑﺎ ﺗﺎﺛﻴﺮ [٨ ٧] ﻲ ﺑﻪ ١ ٢٠٠ ﺖ [١٠] [١٤] ﺑﺎ ﻳﻜﺪﻳﮕﺮ ﻲ [٧-٩] ﺑﺎﺷﺪ ﻟﮋ ﻳﻚ ٢٠mmHg ﻋﻤﻖ ﺑﻴﻬﻮﺷﻲ ﺣﻴﻦ ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻂ ٢ ﭼﻨﮓ ٣ ٢٠٠٠ ﺲ ﺗﻮﺻﻴﻪ ﻣﻲ ﻚ ﻃﻮﻻﻧﻲ [١٢ ١١] ﻛﻪ ﺑﻴﻦ ﭘﺎﻳﻪ ٤ ـﻲ ﺗﺒﺮﻳﺰ ـﻘﺎﺗﻲ ﻣﻴﺴﺮ ﺳﺎﺧﺘﻪ ﺑﻪ ٣١/٤ ٠/٧mmHg ـﺐ ﻳﻚ ﻃـ Paco2 ﻣﻲ ﻧﻤﺎﻳﻢ 1-Murdock 3- Junghans 5- Einarsson ١٩٩١ ٤٢/٧ ١/٥ mmhg ﻃﻲ ﻛﻮﻟﻪ ٤٣/٧ ١/ ٢ mmhg ﺑﻪ mmhg ٣٣/٣ ٠/٧ ﻣﻨﺎﺑﻊ ﻟﻴﻮ -١ 2- Cheng 4- Liu
Downloaded from jarumsarumsacir at 2101 IRDT on Friday March 22nd 2019 ١٣٨٢ during pneumoperitoneoum Surg Endosc 2000 Dec; 14(12) 1167-70 13-Liu SY, Leighton T, Davis I, Klein S, Lippmann M, Bongard F Prospective analysis of cardiopulmonary responses to laparoscopic cholecystectomy J Laparoendosc Surg 1999 Oct; 1(5) 241-6 14-Einarsson SG, Cerne A, Stenqvist O, Bengtsson JP Respiration during emergence from anesthesia with desflurane/ vs desflurane/air for gynecological laparoscopy Acta Anaesthesiol Scand 1998 Nov; 42(10) 1192-8 ﻣﺠﻠﻪ ﻋﻠﻤﻲ ۱۲ ٤ ١٦ ١٣٧٥ ٣٤ ﺗﺎ ٩ ﺳﻌﻴﺪ ﻗﻴﺎﻣﺖ -٢ ﺷﻤﺎره دوم دوره دوم 14 ﺳﺎل ١٣٧٣ ٢١ ﺗﺎ 6 ﺻﻔﺤﺎت 3- Atlee JL Complications in anesthesia First ed London Saunders; 1999 866-8 4-Miller RD Anesthesia 5th ed London Churchill Livingston; 2000 1098, 1102, 200317 5- Jaffe AR, Samuels SI Anesthesiologist s Manual of Surgical Procedures 2nd ed New York Lippincott, 1999 413-34, 623-34 ﺑﻴﻬﻮﺷﻲ -٦ ١ ١٥, ١٣٧٤ ١١ ﺗﺎ ٥ 7- Curet MJ, Vogt DA, Schob O, Qualls C, Izqieirdo LA, Zucker KA Effects of Pneumoperitoneum in pregnant ewes J Surgeries 1996 Jun; 63 (1) 339-44 8- Eger E, Saidman LJ Hazards of nitrous oxide anesthesia in bowel obstruction and pneumothorax Anesthesiology 1965 Jan-Feb; 26 (3) 61-6 9- Scheinin B, Lindgren L, Scheinin TM Perioperative nitrous oxide delays bowel function after colonic surgery B J Anesth 1990 Feb; 64 (2) 154-8 10- Murdock CM, Wolff AJ, VanGeem T Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy Obstet Gynecol 2000 May; 95(5) 704-9 11- Cheng KI, Chu KS, Fang YR, Su KC, Lai TW, Chen YS Total intravenous anesthesia using propofol and ketamine for ambulatory gynecologic laparoscopy Kaohsiung J Med Sci1999 Sep; 15(9) 536-41 12- Junghans T, Bohm B, Meyer E Influence of nitrous oxide anesthesia on venous gas embolism with carbon dioxide and helium