耳鼻喉科手术麻醉_下载.ppt
24页
4npesthes1iaForBar,WDsea2QIRroat,5rgerT耶皋喉形丿犬麻骆byXuLi 白咤 ProfileandDemandsdifficultairway-cardiacarrhythmia:applicattionofEpinephrine,reflexofcarotidsSinhs,etC.N2Oandmiddleearpressure一 Ei朋吴邹育2朐余3诊育《上皇5T纳.育国胡深平腐胡当8闹十5诊浩i0语4吴胺罚氓标D小、14上M5诊仁.18国阮I邹驱I上8晓13酥3有MBHFD、a酥PDc评泓阡、中M2中吴国罪1下印、5命Iz5小I阮、铁 听觉神经 PreoperativeEvaluationandPreparation*Interview(麻醉前访视)Premedication(麻醉前用药):色sedatives(筑静药)鱼anticholinegics(抗肿碱药) Cholceofanesthesialocalanestehsia:tothosecCooperativeonesundergoingshort-termandSimp1eoperations。
generalanesthesia:tothose0nescantbeundertakenoperationsunderlocalanesthesia SeveralcommonENT0perations*operation0fcar心词-*operationofnasalcavity(鼻腔)andnasalsinus(鼻窍)g*tonsillectomy(扁桃体摘除术)#totalthroatresection(全喉截除术)*%Endoscopy(内镜检查)andendoscopicSurgery(内镜手术)< PS:缉纱人气参、爻气参仪加外亿状*病情:急(urgent)、寸*麻醉:全麻,配合充分表麻,要求麻醉既不加重(severe)、危(dangerous)缺氧又能迅速诱导至足够深度*管理:*术前:准备应迅速、的应急处理*术中:祝极防治喉、利索,呼吸困难(dyspnea)气管、支气管痨孟、缺氧、气道内出血、气管破裂(spli0或气胸(pneumothoraxg)、暖头水肿(laryngealedema)等*术毕;充分供氧,待患者清醒良好、呼吸通畅,吸空气SP02基本正常后方可出手术室 QuestionsTrytodescribethefactorscausingarrhythmiaduringENTsurgery.“全喉截除术“中,发生颈外静脉破裂,除了紧急止血外还应警惮什么惜法的发生0如何处理““中耳手术时,吸入全麻的使用应注意什么? 。
