复合麻醉与联合麻醉 (NXPowerLite).ppt

Chapter 11 balanced and combined anesthesia （复合麻醉与联合麻醉） Introduction 1. Background 2. Balanced or combined anesthesia 3. Forte： 4. Commonly used method： （1）intravenous anesthesia + inhalation anesthesia （2）total intravenous anesthesia （3）general anaesthesia + others Application principle of Combined Aanesthesia 1. Select drugs reasonably： （1）synergism （2）additive （3）antagonism 2. Judge depth of anesthesia accurately Application principle of Combined Aanesthesia 3. Enhance perianesthetic management 4. Optimize drugs scheme 5. Mmaintenance individualization 6. Combination of different anesthetic techniques Combined Intravenous - Inhalational anesthesia Introduction （1）concept： （2）method： Combined Intravenous - Inhalational anesthesia 一、Anesthetic method： 1. Induction of anesthesia： （1）intravenous induction：thiopental、 etomidate、propofol、midazolam fentanyl + scoline、vecurium （2）inhaled induction： 2. Maintenance of anesthesia： （1）inhalation anesthesia （2）intravenous balanced anesthesia （3）Intravenous anesthesia + Inhalation anesthesia Combined Intravenous - Inhalational anesthesia 二、Announcements： 1. Individualization 2. Endotracheal tube 3. Accurately monitoring 4. Minimum effective dose 5. Residuary effect of anesthetics Total intravenous anesthesia 一、Total intravenous anesthesia TIVA： 二、Intravenous combined anesthesia by Procaine： （一）Anesthetic method 1. Induction of anesthesia： Total intravenous anesthesia 2. Maintenance of anesthesia： 1% procaine （二）Indications： （三）contraindications： （四）Announcements： 静脉普鲁卡因复合麻醉的分期 呼吸 血压 脉搏 末梢 眼睑 眼压 眼球 瞳孔 肌张力 肢体 循环 张力 位置 大小 活动 浅 浅快 升高 快速 疼痛时 增加 正常 不 正常 手指屈曲 明显 麻醉期 皮肤苍