非住院病人的麻醉ppt課件(已修改)
2025-01-17 20:37 本頁面
【正文】 非住院病人的麻醉 Outpatient Anesthesia Benefits of Ambulatory Surgery a) Patient preference, especially children and elderly b) Lack of dependence on availability of hospital beds c) Greater flexibility in scheduling operations d) Low morbidity and mortality e) Lower incidence of infection f) Lower incidence of respiratory plications g) Higher volume of patients (greater efficiency) h) Shorter surgical waiting lists i) Lower overall procedural costs j) Less preoperative testing and postoperative medication Benefits of Ambulatory Surgery Patient Selection Duration of surgery ? Less than 90 minutes Patient characteristics Malignant hyperthermia susceptibility ? Observe for at least 4 hours postoperatively Extremes of age ? Age alone should not be considered a deterrent in the selection Contraindications to Outpatient Surgery a) Serious, potentially lifethreatening diseases that are not optimally managed (ASAⅢ ～ Ⅳ ):brittle diabetes, unstable angina, symptomatic asthma b) Morbid obesity plicated by hemodynamic or respiratory problems c) Drug therapy: monoamine oxidase inhibitors。 acute substance abuse Contraindications to Outpatient Surgery e) Expremature infants less than 60 weeks postconceptual age f) Lack of a responsible adu
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