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Analysis of Two Anesthesia Schemes for Acute Abdominal Surgery​

2021.09.16 / Thursday

Analysis of Two Anesthesia Schemes for Acute Abdominal Surgery


In daily life, we occasionally encounter abdominal pain. When the pain is sudden and intense, we should seek medical advice to find out the cause.

Clinically, the most common causes of acute abdomen may include intestinal perforation, gastric ulcer, biliary tract disease, mechanical intestinal obstruction, etc.

Because acute abdomen is characterized by rapid onset, rapid development, atypical clinical manifestations and high misdiagnosis rate, surgeons often need to perform surgery immediately to find out the cause of some high-risk patients.


In this article, we will analyze the different anesthesia management modes of the two abdominal surgeries.


Anesthesia patterns in laparoscopic assisted surgery

If the preoperative diagnosis of the patient is relatively clear and the patient is ready for laparoscopic exploration, the preferred choice is endotracheal intubation general anesthesia. At the same time, anesthesiologists can consider combined with abdominal wall nerve block or incision local infiltration anesthesia on the basis of general anesthesia, so as to reduce the perioperative stress response and improve the analgesic effect.

In order to avoid hypothermia, temperature monitoring should be carried out throughout the operation, and medical temperature sensor are used to monitor patients' temperature changes in real time.


Anesthesia patterns in laparotomy

For the limited operation of lower abdomen, if there is no contraindication, epidural anesthesia is a better choice. Patients can keep their own breathing during the operation, which is conducive to rapid postoperative recovery.

General anesthesia combined with epidural anesthesia is a better choice for a wide range of open operations.

In view of various factors in general anesthesia laparotomy, such as irrigation fluid, room temperature, anesthetic drugs and other reasons, which can easily cause intraoperative hypothermia, it is necessary to take active heat preservation measures and use a medical temperature probe to monitor the patient's temperature throughout the process.