胃癌根治术麻醉英文版ppt课件

胃癌根治术麻醉英文版,1,AnesthesiaforRadicalresectionofgastriccancer,胃癌根治术麻醉英文版,2,1.Assessmentofthepatientcondition,VisitingyourpatientAfullassessmentoftherisksofanesthesiaandanestheticdifficultiesDesideanesthesiaschemeandintraoperativemedicationscheme.,胃癌根治术麻醉英文版,3,Someanesthesiadoctorsignoreit,butitisdangerous!,Readingmedicalrecordsanddirectlyquestioningofthepatient,inordertoobtainthepatientaboutthemedicalhistory,testresults,Thepatientsmentalstatusandsoon.Examinationthepatientsbodyespeciallytheimportantsystems,therespiratoryandcardiovascularsystems,andgiveaclassificationtothepatientsphysicalcondition.Guidancepatientsforanesthesia,relievedthepatientsanxietyandfear,andexplaintopatientsortheirfamiliesanestheticrisk,andthensigntheanesthesicconsentform.Andhaveacommunicatewiththesurgeon.,胃癌根治术麻醉英文版,4,Adequateassessmentcanpreventmanyaccidents,Peoplewhoaretoofattendedtohaveananesthesiaintubationdifficulty.Torticollisareoftenverydifficulttohaveaintubation.Somepeoplehavescoliosisproblems,thesepeopleshouldavoidepiduralanesthesiaBesides,manyotherconditionsshouldbeinconsideration,forexample,looseteeth,Malignanthypertensionandsoon,胃癌根治术麻醉英文版,5,medicationshouldbecautioustooldpatients!,Iftherearenospecialcase,generalanesthesiacombinedwithepiduralanesthesiaisok!Fortheelderlyanesthesiainduction,weusuallyuseEtomidateinsteadofPropofol.Ofcourse,inviewofthedifferentpatient,wewillpreparedifferentdrugstocopewiththeirspecialbasicdiseases,inordertokeepthevitalsignsstable.,胃癌根治术麻醉英文版,6,2.Preanestheticmedication,Halfanhourbeforetheoperationweusesomedrugstopatients.Atropineisusedtoreducethesecretionsofpatients.Phenobarbitalforsedation.Differentpatientswithdifferentdosage,胃癌根治术麻醉英文版,7,3.Inoperationroom,AnestheticpreparationGiveanesthesiatothepatient,EpiduralanesthesiacombinedwithgeneralanesthesiaMonitoringduringoperationTheuseofanalgeticpumpandextubation.,胃癌根治术麻醉英文版,8,Bepreparedagainstwant,胃癌根治术麻醉英文版,9,Epiduralanesthesia,胃癌根治术麻醉英文版,10,Generalanesthesia,胃癌根治术麻醉英文版,11,Monitoringduringoperation,DuringtheoperationAnesthesiologistshouldpaycloseattentiontothepatientslifeindex.Necessarydrugsusedtomaintainstablevitalsigns.Somethingwillusesomedrugstohelpthesurgeontocompletetheoperation.,胃癌根治术麻醉英文版,12,Theuseofanalgeticpumpandextubation,Attheendoftheoperation,weusetheAnalgesiapump.Whenthepatienthassufficientspontaneousbreathing,givehimtheextubation,胃癌根治术麻醉英文版,13,4.