罗哌卡因在临床麻醉中的使用剂量较少超过布比卡因,很少达到其致惊厥剂量,具有较高的安全性.但一旦发生中枢毒性反应,罗哌卡因导致的惊厥则会更加严重,It is indicated that if an accidental convulsion induced by ropivacaine, it may be more severe than that induced by correspondent either lidocaine or bupivacaine. It may be the reason that ropivacaine have less lipid solubility, absorbed easily from this tissue compartment, and to get a high concentration in blood.可能与其脂溶性低,吸收后分布容积小,血浆浓度高有关.
瑞芬太尼后处理可减轻CPB心内直视手术患者心肌缺血再灌注损伤,其机制与抑制脂质过氧化反应有关
Remifentanil postconditioning can attenuate myocardial I/R injury in patients undergoing open heart surgery under CPB through inhibiting lipid peroxidation
目的 比较经典型喉罩(CLMA喉罩)、SLIPA喉罩和食管引流型喉罩(PLMA喉罩)用于腹腔镜手术患者气道管理的效果
Objective To compare the efficacy of the laryngeal mask airway Classic (CLMA), Streamlined Liner of Pharyngeal Airway (SLIPA) and laryngeal mask airway ProSeal (PLMA) in patients undergoing laparoscopic surgery
A physician know everything but can do nothing; a surgeon can do everything but know nothing; only the anesthetist know everthing and can do everything!
内科医师什么都懂却什么都不能做；外科医师什么都能做但什么都不懂；只有麻醉医师什么都懂而且什么都能做！
Electroshock therapy, which consists of running an electric current through a patient while under anesthetic, is administered only to those victims who are suicidal and require immediate treatment, or to those with severe refractory depression.
电疗法是将电流通过在麻醉状态下的患者，实施的对象仅限于有自杀之虞、需要立即治疗者，或是严重到难以医治的忧郁症患者。
安氟醚气体分析仪 Enflurane gas analyzer
椎管内麻醉
1、蛛网膜下腔阻滞：适用于会阴、下肢部位的短小手术。尤其是轻比重腰麻时，因药物浓度低（0.75%布比卡因或0.125%-0.2%罗哌卡因），对循环干扰小；腰麻后头痛发生率亦较年轻者低；特别是老年人的常见病如经尿道行前列腺电切除术甚为适宜。
2、连续硬脊膜外阻滞：可分次、小量给药，对血流动力影响小；术后可早期活动，减少术后肺部并发症。所以对老年病人有一定优点。但老年人的硬膜外腔相对小，故一次给药量应适当减少。
3、连续硬膜外阻滞加全身麻醉：全身麻醉可减少硬膜外阻滞时所需的辅助用药，而硬膜外阻滞具有良好的镇痛和肌松作用，可减少全麻药和肌松药的用量。对上腹部手术有一定优点。
Spinal canal anesthesia
1, subarachnoid block: suitable for perineal, extremities especially short of surgery. Especially light proportion, because waist hemp drug concentration low (0.75% cloth 0.125% - than lignocaine or 0.2% ROM perospirone lignocaine) of circular little interference, Lumbar hemp headache incidence after the younger also low; Especially the elderly of common diseases such as transurethral resection of the prostate is suitable for electrical lines.
2, the present continuous hard outside block: by installment, small dose of hemodynamic effects small; Postoperative can early activity, decrease postoperatie pulmonary complications. So in older patients have certain advantages. But the old of epidural cavity is relatively small, reason should be appropriately reduced to a drug.
3, continuous epidural block with general anesthesia: general anesthesia epidural blockade can reduce the need for auxiliary medicine, and epidural blockade has good analgesia and muscles loose function, can reduce the actions of general anesthetics and muscle relaxant dosage. Abdominal surgery on a certain advantages.
painfree is the basis of enjoyable life,that begin form anethesia
Happy new year!
so easy.I am an aneia
我是一个麻醉医生
A detailed patient history and physical exam form the foundation of patient uation and vital patient data that enables efficient, quality patient rounds.
一份详细的病史和体检是评估患者的基础，也可为组织高质量、高效率的查房提供重要的资料。
出处：医学论文写作
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