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1、1.Assessment of the patient condition Visiting your patient A full assessment of the risks of anesthesia and anesthetic difficulties Deside anesthesia scheme and intraoperative medication scheme .第1頁/共13頁Some anesthesia doctors ignore it,but it is dangerous! Reading medical records and directly ques
2、tioning of the patient, in order to obtain the patient about the medical history, test results, The patients mental status and so on. Examination the patients body especially the important systems, the respiratory and cardiovascular systems, and give a classification to the patients physical conditi
3、on. Guidance patients for anesthesia, relieved the patients anxiety and fear, and explain to patients or their families anesthetic risk, and then sign the anesthesic consent form. And have a communicate with the surgeon. 第2頁/共13頁Adequate assessment can prevent many accidentsPeople who are too fat te
4、nded to have an anesthesia intubation difficulty.Torticollis are often very difficult to have a intubation.Some people have scoliosis problems,these people should avoid epidural anesthesiaBesides,many other conditions should be in consideration,for example,loose teeth, Malignant hypertension and so
5、on第3頁/共13頁medication should be cautious to old patients! If there are no special case, general anesthesia combined with epidural anesthesia is ok! For the elderly anesthesia induction, we usually use Etomidate instead of Propofol. Of course, in view of the different patient, we will prepare differen
6、t drugs to cope with their special basic diseases, in order to keep the vital signs stable.第4頁/共13頁2. Preanesthetic medication Half an hour before the operation we use some drugs to patients. Atropine is used to reduce the secretions of patients. Phenobarbital for sedation. Different patients with d
7、ifferent dosage第5頁/共13頁3.In operation room Anesthetic preparation Give anesthesia to the patient, Epidural anesthesia combined with general anesthesia Monitoring during operation The use of analgetic pump and extubation.第6頁/共13頁Be prepared against want第7頁/共13頁Epidural anesthesia 第8頁/共13頁General anes
8、thesia第9頁/共13頁Monitoring during operation During the operation Anesthesiologist should pay close attention to the patient s life index. Necessary drugs used to maintain stable vital signs. Something will use some drugs to help the surgeon to complete the operation.第10頁/共13頁The use of analgetic pump
9、and extubation At the end of the operation,we use the Analgesia pump. When the patient has sufficient spontaneous breathing, give him the extubation第11頁/共13頁4.Out of operation room Patient who have a good condition back ward. Old and bad condition patients should go to the ICU, Observe for a period of time.第12頁/共13頁感謝您的觀看。第13頁/共13頁
胃癌根治術(shù)麻醉 英文PPT課件
