当前位置:公众访问 >页面
简体中文 / English
1.Screening
1.2.Inclusion Criteria

American Society of Anesthesiologists (ASA) physical status I-III

III

Age

47 year

Body Surface Area

36.0 kg/m2

Scheduled to undergo sleeve gastrectomy

纳入

1.3.Exclusion Criteria

Neuromuscular disorders

Allergies to, or contraindication for muscle relaxants, neuromuscular reversing agents, nesthetics, narcotics

History of malignant hyperthermia

Pregnancy or lactation

Renal insufficiency

Chronic obstructive pulmonary disease GOLD classification 2 or higher

upper or lower airway infection

Congestive heart failure

Psychiatric illness inhibiting cooperation with study protocol or possibly obscuring results

Diaphragm with poor ultrasound visualization

2.base line
2.2.General information

Sex(male/female)

Age

47 year

Height

162 cm

Weight

94.6 kg

Lean body weight

49.9 kg

Ideal body weight

53.7 kg

Body Mass Index

36.0 kg/m2

Waistline

118 cm

Hypertension

mmHg

Diabetes

Dyslipidemia

2.3.Physical examination

Abdominal surgery history

Obstructive sleep apnea syndrome

2.4.follow-up 1
2.2.4.2.41、Diaphragm excursion

Diaphragm excursion

1.73 3.97 cm

2.2.4.2.42、QoR-15 score

Quality of Recovery Scores

36+20+20+20+39=135

3.In the process of the treatment
3.1.Treatment Record

fentanyl

250 ug

Rocuronium total dose

95 mg

Remifentanil dose

1505 μg

Bispectral index of the EEG

41.3

Frequency of rescue NMBA

0

Reported muscle movements

0

Entirely optimal (5) throughout pneumoperitoneum

Entirely good to optimal (4–5) throughout pneumoperitoneum

Surgical field condition score

5/5/4/4

Intra-abdominal pressure

14.0 mmHg

Duration of surgery

165 min

Mean arterial pressure

81.6 mmHg

Mean Heart rate

97.8 min-1

Compound sodium chloride

1000 ml

Bleeding

25 ml

Time to TOF=0.9

30 min

4.postoperation
4.1.Health Relative Quality of Life

SpO2<95% in the PACU

Duratin in the PACU

55 min

Time to out of bed

330 min

Time to gas passage

3630 min

Antiemetic

0 mg

Analgesic

0 mg

Post-Op complication

Hospital stay

145 h

Expenses of hospitalization

33434.43 yuan

4.2.follow-up 2

Shoulder pain

no

4.4.2.4.21、Diaphragm excursion

Diaphragm excursion

1.43 3.00 1.07 1.81 1.18 2.05 cm

4.4.2.4.22、QoR-15 score

Quality of Recovery Scores

21+7+16+15+28=87 42+13+20+20+36=131

4.4.2.4.23、VAS

Incision pain at rest

0/2.0/0

Incision pain at movement

4.0/2.0

Visceral pain at rest

5.0/3.0/1.0

Visceral pain at movement

4.0/2.0

4.4.2.4.24、Nausea and vomiting score

Postoperative nausea and vomiting grading

0