麻醉(英文版) PPT
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6
Mandate and scope of anesthesiology
1、Clinical anesthesia 2、First aid and resuscitation 3、Monitoring and treatment of severe patients 4、Pain Management 5、others：MODS、Discontinuation
Loss feeling or awareness reversibly by using certain drugs on the central or peripheral nervous system, to alleviate the pain of patients, and create conditions for operation.
7
The basic content of Clinical Anesthesia
➢ Analgesia ➢ Create conditions for operation
Muscle relaxant Breathing Control Regulation of blood pressure Regulation of body temperature
5
Morton WTG successfully showed ether anesthesia in Massachusetts General Hospital in October 16, 1846 , which opened up a new era of modern anesthesia.
➢ Cardiopulmonary bypass ➢ Maintain homeostasis stability
8
Section II Pre-anesthesia preparation
and pre-anesthesia drug
9
The purpose of the pre-anesthesia condition assessment
11
Condition assessment 2： Physical examination
➢ General situation ➢ Vital Signs ➢ Airway、teeth、neck ➢ Lung ➢ Cardiovascular ➢ Liver、renal ➢ Nervous system ➢ Limbs、spine ➢ Mental state
➢ Understanding health conditions and special conditions of patients
➢ Make special preparations before anesthesia ➢ Assess the risk of anesthesia ➢ Set up anesthesia plans and response measures
Anesthesia
Section I Introduction 2
Milestones of surgery
➢ Aseptic technique ➢ Anesthesia technology ➢ Antibiotics application
3
The conception of anesthesia:
13
Condition aຫໍສະໝຸດ sessment 4： ASA Grading
(American society of Anesthesiologists)
➢ Level I Normal ➢ Level Ⅱ Mild lesions，Compensate completely ➢ Level Ⅲ Serious lesions, physical activity Limited，but can
12
Condition assessment 3： Medication history
Antihypertensive drugs Anticoagulant agents
Diuretics
Spirit drugs
Digitalis agents
Antineoplastic agents
Antianginal agents
➢ The contemporary period— formation of clinical anesthesiology, from the 18th century to the thirtiesforties of 20th century.
➢ The modern period— formation of modern anesthesiology, from the fifties of 20th century to date.
4
The three stages of the development of anesthesia
➢ The ancient period— initial stage of anesthesia, from the prehistoric times to the mid-18th century.
10
Condition assessment 1： History Review
➢ Personal history ➢ Past history ➢ Allergic history ➢ Medication history ➢ History of internal and surgical diseases ➢ The history of anesthesia ➢ Information of this surgery
Anti-glaucoma drug
Antiarrhythmic agents Antibiotics
Hypoglycemic agents Opiates
Bronchodilator agents Antiepileptic drugs
Hormones
Non-steroidal anti-inflammatory drugs
Mandate and scope of anesthesiology
1、Clinical anesthesia 2、First aid and resuscitation 3、Monitoring and treatment of severe patients 4、Pain Management 5、others：MODS、Discontinuation
Loss feeling or awareness reversibly by using certain drugs on the central or peripheral nervous system, to alleviate the pain of patients, and create conditions for operation.
7
The basic content of Clinical Anesthesia
➢ Analgesia ➢ Create conditions for operation
Muscle relaxant Breathing Control Regulation of blood pressure Regulation of body temperature
5
Morton WTG successfully showed ether anesthesia in Massachusetts General Hospital in October 16, 1846 , which opened up a new era of modern anesthesia.
➢ Cardiopulmonary bypass ➢ Maintain homeostasis stability
8
Section II Pre-anesthesia preparation
and pre-anesthesia drug
9
The purpose of the pre-anesthesia condition assessment
11
Condition assessment 2： Physical examination
➢ General situation ➢ Vital Signs ➢ Airway、teeth、neck ➢ Lung ➢ Cardiovascular ➢ Liver、renal ➢ Nervous system ➢ Limbs、spine ➢ Mental state
➢ Understanding health conditions and special conditions of patients
➢ Make special preparations before anesthesia ➢ Assess the risk of anesthesia ➢ Set up anesthesia plans and response measures
Anesthesia
Section I Introduction 2
Milestones of surgery
➢ Aseptic technique ➢ Anesthesia technology ➢ Antibiotics application
3
The conception of anesthesia:
13
Condition aຫໍສະໝຸດ sessment 4： ASA Grading
(American society of Anesthesiologists)
➢ Level I Normal ➢ Level Ⅱ Mild lesions，Compensate completely ➢ Level Ⅲ Serious lesions, physical activity Limited，but can
12
Condition assessment 3： Medication history
Antihypertensive drugs Anticoagulant agents
Diuretics
Spirit drugs
Digitalis agents
Antineoplastic agents
Antianginal agents
➢ The contemporary period— formation of clinical anesthesiology, from the 18th century to the thirtiesforties of 20th century.
➢ The modern period— formation of modern anesthesiology, from the fifties of 20th century to date.
4
The three stages of the development of anesthesia
➢ The ancient period— initial stage of anesthesia, from the prehistoric times to the mid-18th century.
10
Condition assessment 1： History Review
➢ Personal history ➢ Past history ➢ Allergic history ➢ Medication history ➢ History of internal and surgical diseases ➢ The history of anesthesia ➢ Information of this surgery
Anti-glaucoma drug
Antiarrhythmic agents Antibiotics
Hypoglycemic agents Opiates
Bronchodilator agents Antiepileptic drugs
Hormones
Non-steroidal anti-inflammatory drugs