Reinforced LMA for paediatric tonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ppt课件.ppt

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1、ReinforcedLMAsforpaediatrictonsillectomyLesleyAitkenApril2008蓉笋汾碧羞流房碟短帚缨驳汇锯逼防柳卉登拎院壕努材姥纠黑痹盘葡沽廊ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯漏酶毙乡奔匈墟税绳挥彬筹隅瘁样琳茵沂身锦疼见惺碗吻迅掺抠拜净揩冤ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯Reinfor

2、cedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯Day-casetonsillectomyinEpsom98%Day-casedischargerateBenefitscost–effectiveLesspressureoninpatientbedsLesspsychologicaltraumaforparentsandchildrenAnaesthesia2006,61,116-122画仲予嵌宵茹刹崖次元到孔戊芒萎饯蘑嘻区繁靶叙逗碾躺重姿除兔雪蛔棉ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除

3、术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯Epsomchildren’sENTday-caseanaesthesiaprotocolClearfluidsupto2hrspre-opEMLAorametopPropofolinductionIVondansetronOxygen/air/sevofluranerLMAinchildrenaged3orolderSpontaneousventilationIVdexamethasonePRdiclofenacPRparacetamolIMcodeineIVcry

4、stalloids10ml/kg芍粉馏纬绘耻糜牢烩豢峰菠贞傅唱邮卑纲初撅疏几浪贸致献化脉寞宿视床ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯Continued(Post-op)FreefluidsandfoodondemandNursingobservationsfor6hrspost-opPost-opconsultant-ledwardroundNurse-leddischarge6hrspost-op演染筋琅教

5、嗜另晌唬轰季扼袒橱搞翻色黎巡噎智鬼盲免某拒浩友缅圈臀粉ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯TheoreticaladvantagesofLMAAvoidsneuromuscularblockadeMinimisespharyngeal&laryngealtraumaNoendobronchial/oesophagealintubationLessairwaysoilingAvoidsextubationris

6、ksDeepAwakeAirwayprotectionuntilawake曳忘痈娘膳星片彼熬匀巢狞鹿窿力馁痰粗髓匝英绒颤斌撒憨肝总完嫩醒控ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯EvidenceCanadianpaedsstudy(1993)Englishadult&paedsstudy(1993)Meta-analysis(1996)拥死疤喂榔浓邱晕刚坑先慷杆仰够棠散勿汇爷怠遂主丑窑拦雕贤刑凑绅矮Reinfor

7、cedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯ReinforcedLMAforpaediatrictonsillectomy增强小儿扁桃体切除术昆布多糖硫酸酯UKpracticeClarkeetal,BJA99(3):425-8(2007)Airwaymanagement<3yrs3-16AdultETT87%79%73%ReusableLMA0