【临床麻醉学教案】老年人麻醉

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1、RENALFUNCTION教学方法5多媒体、讲解10多媒体、讲解多媒体、举例多媒体、举例举例、多媒体举例、多媒体多媒体、举例多媒体、讲解Musculoskeletal10多媒体、讲解教材名称、临床麻醉学ClinicalAnesthesiology授课时间、授课对象、醉专业教学内容、老年人麻醉计划学时、4重点Age-RelatedAnatomic&PhysiologicalChanges(与年龄相关的解剖及生理变化)AGE-RELATEDPHARMACOLOGICALCHANGES(药理特点)老年

2、病人麻醉特点:麻醉前准备及评估及麻醉处理原则难点老年病人麻醉手术风险因索心血管系统评估和准备围术期心血管危险因素教学冃的：使学生掌握老年人与年龄相关的解剖及生理变化；掌握老年人与年龄相关的药理特点；掌握老年人的麻醉特点。熟悉老年人术后常见并发症。教学方法：采用启发式；互动式；多进行病例的讲解和分析，帮助学牛理解和记忆；教具(挂图幻灯投影及CAI等)：多媒体；实物新内容新知识：(注明来源及所占比例)、美国AOOAHA(2002)围术期心血管危险性评估ClinicalAnesthesiology4t

3、hUSA(10%)MillerAnesthesia6thUSA(5%)夕卜语关键词：geriatricAnesthesia:perioperativemortalityandmorbidity；elderlypatients；age-relativedanatomicandphysiologicalchanges;afterload：systolicbloodpressure；musculoskeletal;pharmacologicalchanges;pharmacodynamic；pharm

4、acokinetic；inhalationalagents；nonvolatileanestheticagents参考资料：ClinicalAnesthesiology4,hUSA(10%)MillerAnesthesia6lhUSA(5%)课堂设计:时间课程内容IntroductionAge-RelatedAnatomic&PhysiologicalChangesCARDIOVASCULARSYSTEM10RESPIRATORYSYSTEM8NERVOUSSYSTEM7GASTROINTEST

5、INALFUNCTION5METABOLIC&ENDOCRINEFUNCTION5AGE-RELATEDPHARMACOLOGICALCHANGES15讲解、多媒体INHALATIONALANESTHETICS10图示、讲解举例、讲解多媒体、讲解图表、讲解1010NONVOLATILEANESTHETICAGENTS1()MUSCLERELAXANTS麻醉前准备及评估麻醉前用药1()举例、讲解麻醉处理及选择1()讲解、举例呼吸系统功能障碍10讲解、举例循环系统功能障碍10讲解、举例中枢神经系统功

6、能障碍15举例、讲解疼痛15举例、讲解小结1()讲解教学过程：GeriatricAnesthesia(老年人麻醉)Introduction(概述)1.Bytheyear2040zpeopleaged65orolderareexpectedtomakeup24%ofthepopulationandaccountfor50%ofhealthcareexpenditures.2.Oftheseindividualshalfwillrequiresurgerybeforetheydie,despiteb

7、eingata3-foldincreasedriskforperioperativedeathcomparedwithyoungerpatients.3.Emergencysurgery,surgicalsite,andphysicalstatusdeHnedbytheAmericanSocietyofAnesthesiologistsincreaseanestheticrisk.4.Operationsassociatedwithincreasedriskofperioperativemort

8、alityandmorbidityforelderlypatientsincludethoracic,intraperitoneal(particularlycolonsurgery),andmajorvascularprocedures.5.Aswithpediatricpatients,optimalanestheticmanagementofgeriatricpatientsdependsonanunderstandingofthenormalchangesinphysiology^ana