anesthesia

Abstract Objective congenital omphalocele and gastroschisis the management of perioperative period.38 patients were taken intratracheal method inhalation anesthesia induced with propofol and remifentanil, vecuronium.endotracheal intubation and mechanical ventilation during propofol and remifentanil continuous intravenous infusion, assisted surgery of enflurane.Not promote postoperative tracheal intubation and returned SICU used 2.5h~3d range of ventilator-assisted breathing.Both after fasting, gastrointestinal decompression 5~12d, TPN6~10d.Results in 2003 were 12 cases before the capsule ventilator-assisted breathing, four cases of deaths due to respiratory failure.In 2003 after 26 patients were used 2.5h~3d range of ventilator-assisted breathing.In addition to two cases abandoned after treatment, 21 patients survived and one died of respiratory failure.Conclusion congenital omphalocele, gastroschisis is a critical emergency, the appropriate surgery, ventilator support, the TPN therapy.a higher cure rate.
Key words : mechanical ventilation anesthesia neonatal omphalocele gastroschisis