普胸外科手术麻醉课件

DepartmentofThoracicSurgeryShanghaiChestHospital为谁上麻醉？为稻粱谋？为外科医生？为麻醉学？为病人！Aug,201011/20/202411/20/2024麻醉前知难而退知难而进知难而退Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024Aug,201011/20/202411/20/2024麻醉前Aug,201011/20/202411/20/2024麻醉中麻醉深度麻醉医生？外科医生？病人的情况！利己利人Aug,201011/20/202411/20/2024麻醉中麻醉深度指标肌松程度神经反射循环参数靶控Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中呼吸的控制保护性肺通气策略：定压通气高频率低容量CPAP（iNOS）气管插管到位Aug,201011/20/202411/20/2024麻醉中循环的维持维持生命保护内环境急性肺损伤！Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中Aug,201011/20/202411/20/2024麻醉中需要多少监护仪器？麻醉意外的最常见原因：人为因素仪器故障BrodskyJB,StanfordUniversity不是Lackofknowledge而是FailuretoapplyexistingknowledgeAug,201011/20/202411/20/2024麻醉中需要多少监护仪器？Themorethebetter?Themoretheworse?分散注意力虚假安全感监护监护仪浪费时间附加风险Aug,201011/20/202411/20/2024麻醉中需要多少监护仪器？TheAustralianIncidentMonitoringStudy2000例麻醉意外监护仪发现50%---半数不能依靠监护仪！SpO227%CO224%ECG19%BP12%Circuitpressure8%其它<1%Aug,201011/20/202411/20/2024麻醉中观察指标基本生命体征！心律血压呼吸体温Aug,201011/20/202411/20/2024麻醉中观察指标必需的仪器设备：按顺序听诊器血压计指脉仪CO2管道压力报警心电图体温计Aug,201011/20/202411/20/2024麻醉后复苏药物复苏确认生命体征喉保护Aug,201011/20/202411/20/2024ThanksforYour