Title: Comparison study on anesthesia methods during lumpectomy for epilepsy
Abstract: Objective To compare the anaesthesia effect and the effect of the exact localization with different anesthesia methods in lumpectomy with pinpointing the focus of epilepsy. Methods Ninty patients with temporal lobe epilepsy ( aged-years,ASAⅠ-Ⅱ) scheduled for epilepsy foci resection with electrocoticography( ECoG) were randomly assigned to three groups including those receiving remifentanil-propofol TCI intravenous anesthesia( groupⅠ) ,sevoflurane inhalation anesthesia ( groupⅡ) and sevoflurane combined propofol and remifentanil anesthesia ( group Ⅲ) . Anesthesia effect and the effect of the exact localization with different anesthesia methods in the epilepsy foci resection were observed. Results HR and MAP of three groups at every time point were not significant changed. the time of detectable electrocorticography,spontaneous breathing recovery and eye opening in groupⅠwas significantly shorter than that in groupⅡand group Ⅲ. The wave of ECoG in groupⅠwas not significant changed,but the frequencies of spike wave,αwave ,β wave and δwave in groupⅡwere reduced significantly compared to those in group Ⅰ. The frequencies ofαwave andβwave in group Ⅲ were reduced significantly compared to those in groupⅠ. Conclusion TCI of remifentanil-propofol can be used as a good choice of anesthesia for the patients undergoing epileptic foci resection . It could keep anesthesia smoothly,speed up but not disturb electrocorticography detection,and make patients quickly and completely recover from anesthesia.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
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