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Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2018, Vol. 05 ›› Issue (01): 15-18. doi: 10.3877/cma.j.issn.1674-6899.2015.01.004

Special Issue:

• Original Article • Previous Articles     Next Articles

The median effective target plasma concentration of propofol for insertion of laryngeal mask airway in Han and Uygur patients from esophageal hiatus hernia

Jing Mei1,(), Songtao Liu2   

  1. 1. Department of Anaesthesia, People′ s Hospital of Xinjiang Ugyur AutomonousRegeion 830001 Urumqi, China
    2. Department of Anesthesiology, Fourth Affiliated Hospital of Xinjiang Medical University, 830000 Urumqi, China
  • Received:2017-12-23 Online:2018-02-15 Published:2018-02-15
  • Contact: Jing Mei
  • About author:
    Corresponding author: Mei Jing, Email:

Abstract:

Objective

Study on the median effective target plasma concentration(EC50)of propofol for target controlled infusion(TCI)inhibiting laryngeal mask insertion response during anesthesia induction of laparoscopic surgery in Xinjiang Uygur and Han EHH patients, To provide guidance for rational drug use and individualized anesthesia.

Methods

Collected the 28 cases in Uygur group and 30 cases in Han group who underwent laparoscopic surgery in the hospital during the period from January 2016 to August 2017 were enrolled in the study.The EC50 of propofol for TCI during anesthesia induction was calculated by Dixon up-and-down method.By adopting sequential test and propofol with the first patient with the concentration of 3.5 ug/ml and grade differential of 0.5 ug/ml.The method of anaesthesia and surgery in the treatment were summarized.The intraoperative blood flow; BIS(bispectral index)were observed.

Results

The effective plasma concentration of propofol to achieve successful laryngeal mask airway insertion in 50% of Han and Uygur patients was 3.77ug/ml and 4.31ug/ml, while 95% Confidence Intervals is 3.61~3.91 ug/ml.and 4.16~4.46 ug/ml.

Conclusion

The EC50 of propofol for TCI inhibiting laryngeal mask insertion response in Xinjiang Uygur EHH patients was significantly higher than that of the Han patients.Please pay attention to the anesthesiologist.

Key words: Hernia, hiatal, Propofol, The median effective target plasma concentration, Nationality

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