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ClinicalAnaesthesiology临床麻醉学

ClinicalAnaesthesiology临床麻醉学

ID：36756281

大小：1.03 MB

页数：75页

时间：2019-05-09

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1、ClinicalAnaesthesiologyQiuWeiFanAssociateprofessor DepartmentofAnaesthesiologyRuiJinHospital ShanghaiSecondMedicalUniversityLocalAnaesthetictechniquesFeaturesoflocalanaesthesiaMethodsoflocalanaesthesiaComplicationsoflocalanaesthesiaRegionalblockequipmentSpinal,epidural,&caudalblocksPer

2、ipheralnerveblocksPreoperativeassessment andpremedicationPurposeEstablishrapportwiththepatientObtainahistoryandperformaphysicalexaminationsOrderaspecialinvestigationsAssesstherisksofanaesthesiaandsurgeryandifnecessarypostponeorcancelthedateofsurgeryInstutitepreoperativemanagementPrescr

3、ibepremedicationandtheanaesthesiamanagementPreoperativeassessment andpremedicationRoutinepreoperativeanaestheticevaluationHistoryCurrentproblemOtherknownproblemsMedicationhistoryPreoperativeassessment andpremedicationMedicationhistoryAllergiesDrugintolerancesPresenttherapyPrescriptionN

4、onprescriptionNontherapeuticAlcoholTobaccoIllicitPreoperativeassessment andpremedicationPreviousanaesthetics,surgery,andobstetricdeliverriesFamilyhistoryReviewoforgansystemsLastoralintakePreoperativeassessment andpremedicationReviewoforgansystemsGeneralRespiratoryCardiovascularRenalGas

5、trointestinalHematologicPreoperativeassessment andpremedicationReviewoforgansystemsNeurologicEndocrinePsychiatricOrthopedicDermatologicPreoperativeassessment andpremedicationPhysicalexaminationVitalsignsAirwayHeartLungsExtremitiesNeurologicexaminationPreoperativeassessment andpremedica

6、tionLaboratoryevaluationHematocritorhemoglobinconcentrationAllmenstruatingwomen Allpatientsover60yearsofage AllpatientswhoarelikelytoexperiencesignificantbloodlossandmayrequiretransfusionSerumglucoseandcreatinine(orbloodureanitrogen)concentration:allpatientsover60yearsofageElectrocardi

7、ogram:allpatientsover40yearsofageChestradiogram:allpatientsover60yearsofageASAclassificationIAnormalhealthypatientotherthansurgicalpathology-withoutsystemicdisease.IIApatientwithmildsystemicdisease–nofunctionallimitations.IIIApatientwithmoderatetoseveresystemicdisturbanceduotomedical

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