- 1、本文档共39页,可阅读全部内容。
- 2、有哪些信誉好的足球投注网站(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
- 5、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
- 6、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们。
- 7、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 8、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
_Management of Preeclampsia and Eclampsia先兆子痫和子痫患者的麻醉管理课件
Regional vs. General Anesthesia in Preeclampsia Epidural anesthesia would probably be preferred by many anesthesiologists in a severely preeclamptic pt in a non-urgent setting For urgent cases it is reassuring to know that spinal is also safe This allows us to avoid general anesthesia with the potential for encountering a swollen, difficult airway and/or labile hypertension Regional vs. General Anesthesia in Preeclampsia General anesthesia is a well-known hazard in obstetric anesthesia: 16X more likely to result in anesthetic-related maternal mortality Mostly due to airway/respiratory complications, which would only be exaggerated in preeclampsia Hawkins, Anesthesiology 1997;86:273 Platelets Regional Anesthesia in Preeclampsia Prior to placing regional block in a preeclamptic it is recommended to check the platelet count. No concrete evidence at to the lowest safe platelet count for regional anesthesia in preeclampsia Any clinical evidence of DIC would contraindicate regional In the absence of such signs, most anesthesiologists would proceed at plt count 100K, many would proceed at 80-100K, 80K some would proceed (esp. spinal) Platelets Regional Anesthesia in Preeclampsia When placing a regional block in a patient with a platelet count 100K, the most important thing is to monitor resolution of block closely Bleeding time has been discredited as an indicator of epidural bleeding risk and is not indicated. Channing-Rogers, Semin Thromb Hemost 1990;16:;1-30 Low-dose aspirin is not a contraindication to regional anesthesia in preeclampsia CLASP study: 1422 women on aspirin received epidurals without any bleeding complications Hazards of General Anesthesiain Preeclampsia Airway edema is common Mandatory to reexamine the airway soon before induction Edema may appear or worsen at any time during the course of disease tongue facial, as well as laryngeal Laryngoscopy and intubation may ? severe ?BP Labetolol NTG are commonly used acutely Fentanyl (2.5 mcg/kg), alfe
您可能关注的文档
- 2018高考物理(新课标)一轮复习讲解第三章牛顿运动定律_1课件.ppt
- 2018版高考生物一轮复习微讲座第七单元变异与育种讲解课件.ppt
- 2018高考物理(新课标)一轮复习讲解第一章直线运动第1讲课件.ppt
- 2018高考物理(新课标)一轮复习讲解第一章直线运动第4讲课件.ppt
- 2018高考物理(新课标)一轮复习讲解第三章牛顿运动定律课件.ppt
- 2018教师专业标准新课件讲解材料.ppt
- 462《神经系统的组成》PPT课件.ppt
- 2018版高中地理_第五章 交通运输布局及其影响 51 交通运输方式和布局课件 新人教版必修.ppt
- 2型糖尿病患者健康管理服务规范_PPT课件.pptx
- 3_Under the sea原创赛讲课课件.ppt
- 视频文本提取技术:从原理到虚拟卡拉OK的创新应用.docx
- 基于现代技术架构的终端测试管理系统设计与实现研究.docx
- 市场竞争对我国商业银行流动性创造的多维影响与策略研究.docx
- 中国银行J市分行投资银行业务发展战略:基于区域金融生态的深度剖析与策略构建.docx
- 中国银行业结构对宏观经济波动的异质性影响:基于省级面板数据的深度剖析.docx
- 嵌入式打印转发系统的深度剖析与创新实现.docx
- 基于[具体技术]的网上论坛系统设计与实现:从架构搭建到功能优化.docx
- 控制系统性能评价技术:理论、方法与实践应用的深度剖析.docx
- Web3D赋能虚拟社区:技术演进、应用创新与未来展望.docx
- 基于JAVAEE的IT资产管理系统:架构、功能与实践探索.docx
文档评论(0)