administrationofgeneralanesthesia全身麻醉應(yīng)用-文庫吧資料
2025-02-19 06:01本頁面
【正文】 Last oral intake Preoperative preparation ? Intravascular volume Dehydration: adequately hydrate the pt before induction ? Intravenous access ? Preoperative medications Anxiety Benzodiazepine: Midazolam Opioid: Morphine or Fentanyl Neutralize gastric acid and decrease gastric volume Which kind of pt is at increased risk of aspiration of gastric content? ? Recent meal ? Trauma ? Bowel obstruction ? Pregnancy ? History of gastric surgery ? Increased intraabdominal pressure ? History of active reflux Monitoring Standard monitoring for GA ECG NBP Pulse oximetry Capnography Oxygen analyzer Induction Let the pt go off to sleep Preoxygenation 8L~10L/min IV or Inhalational induction Airway management Induction techniques ? Intravenous: the most mon method ? Inhalation: for special pt (pt with difficult airway, pediatric pt) ? Intramuscular :rarely used,only used in uncooperative pts and young children Airway management ? ASA Closed Claims Study(美國麻醉學(xué)會已結(jié)案的訴訟） ?35 % of claims are RESPIRATORY events ?90 % resulted in brain damage or death ?90% resulted from Difficulty in INTUBATION or EXTUBATION Airway management ? Airway patency is critically important Oral airway N
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