guangdong0000 发表于 2012-5-16 11:46:03

Surgical procedures in children six hours before the ban on milk and solid food three hours before surgery ban clear liquid

小儿手术术前6个小时禁奶及固体食物,术前3小时禁清亮液体

xiezhi2012 发表于 2012-5-16 12:16:06

困难气道的定义是:具有五年以上临床麻醉经验的麻醉科医师在面罩通气时遇到了困难(上呼吸道梗阻),或气管插管时遇到了困难,或两者兼有的一种临床情况。
The definition of difficult spirit way is:Have for more than five years the clinical anaesthesia is empirical anaesthesia doctor Ke met a difficulty(up breath way block) when the mask ventilates, or the windpipe met a difficulty while putting a tube, or both and a kind of clinical circumstance for having.
出处:中华医学会麻醉学分会《困难气道管理专家意见》

墙角的玫瑰 发表于 2012-5-16 18:23:53

AHH combined with CH can effectively protect the blood while do not increase the incidence of POCD in elderly,it may be a safe and effective method of blood saving to apply in major surgery in elderly patients.
AHH联合CH措施在有效保护血液的同时,并不增加老年病人术后认知功能障碍的发生率,因此应用于老年病人是有效的和安全的。

出处,我研究生毕业论文的结论之一。

wangruitong 发表于 2012-5-16 20:24:41

antibody dependent cell-mediated cytotoxicity 抗体依赖细胞介导的细胞毒

wangruitong 发表于 2012-5-16 20:25:58

Cardiopulmonary Cerebral Resuscitation /7ka:di[u5pQlm[n[ri 5seribr([)l (s[5ri:br[l) ri7sQsi5teiF[n/ 心肺脑复苏

lizhenzhou 发表于 2012-5-16 20:49:40

Effects of ropivacaine infiltration on cortisol and prolactin responses to postoperative pain after inguinal hernioraphy in children
小儿腹股沟疝修补术后,罗哌卡因渗透对考的松和催乳素水平对疼痛的反应程度的影响.

zhangxh 发表于 2012-5-16 21:01:51

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!

牛龙虫 发表于 2012-5-16 22:21:33

原话 :观察玻璃酸酶镇痛液骶管注射治疗腰椎间盘突出症的疗效
翻译:Observation of hyaluronidase analgesic liquid sacral canal injection for the treatment of lumbar disc herniation

zhulaoda0 发表于 2012-5-17 13:30:15

Because hypocapnia increases the seizure threshold of local anesthetics, the patient should be instructed to hyperventilate. Simultaneously, a very small dose of thiopental sodium (50 mg) could be administered intravenously. Unconsciousness should be strictly avoided, because pregnant patients are considered to have a full stomach. The patient should already be receiving supplemental oxygen.

低碳酸血症可以加速局麻药发作阈值,患者应被指导着过度呼吸,同时,静脉小剂量给予硫喷妥钠(50毫克)。因为考虑怀孕患者胃部是满的,严防意识消失。患者应该已经被辅助供氧

zhulaoda0 发表于 2012-5-17 13:31:01

Bupivacaine is more cardiotoxic than lidocaine, particularly in the presence of acute respiratory acidosis. Ventricular arrhythmias and conduction disturbances may lead to cardiac arrest and death. Bupivacaine is considered a more potent cardiac sodium channel blocker because the channels recover more slowly than after lidocaine blockade. Amiodarone and possibly bretylium should be considered as the preferred alternative to lidocaine in the treatment of local anesthetic-induced ventricular tachyarrhythmias.Vasopressors may include epinephrine, norepinephrine, and vasopressin. Isoproterenol may effectively reverse some of the electrophysiological abnormalities characteristic of bupivacaine toxicity. The reason for the higher incidence of cardiotoxicity during pregnancy is unclear. Although total dose rather than concentration determines toxicity, the Food and Drug Administration no longer recommends 0.75% bupivacaine for anesthesia during labor.
布比卡因对心脏的毒性要大于利多卡因,尤其是在急性呼吸性酸中毒时。室性心律失常和传导障碍,可能会导致心脏骤停而死亡。布比卡因被认为是一种更有效的心脏钠通道阻滞剂,因为渠道比利多卡因阻滞后恢复更加缓慢。胺碘酮和溴苄胺也许应被视为在利多卡因局部麻醉诱导室性心动过速的治疗的首选治疗药。升压药可能包括肾上腺素,去甲肾上腺素和加压素。异丙可以有效地扭转一些布比卡因毒性的特征电生理异常。在怀孕期间的发病率较高的心脏的原因目前还不清楚。虽然浓度,而不是总剂量决定毒性,食品和药物管理局不再建议在分娩过程中使用0.75%布比卡因来麻醉。
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