全身麻醉诱导
- Authors
- Adam King, MD
Adam King, MD
- Assistant Professor of Anesthesiology and Critical Care
- Vanderbilt University Medical Center
- Liza M Weavind, MBBCh, FCCM, MMHC
Liza M Weavind, MBBCh, FCCM, MMHC
- Professor of Anesthesiology and Surgery
- Vanderbilt University Medical Center
- Section Editor
- T Andrew Bowdle, MD, PhD
T Andrew Bowdle, MD, PhD
- Section Editor — Anesthetic Pharmacology
- Professor of Anesthesiology and Pharmaceutics (Adjunct)
- Department of Anesthesiology
- University of Washington
- Deputy Editor
- Nancy A Nussmeier, MD, FAHA
Nancy A Nussmeier, MD, FAHA
- Deputy Editor — Anesthesiology
- Department of Anesthesia, Critical Care, and Pain Medicine
- Massachusetts General Hospital
- Translators
- 叶西就, 副主任医师
叶西就, 副主任医师
- 中山大学孙逸仙纪念医院麻醉科
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: 2017-06 . | This topic last updated: 2017-04-03.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- https://www.asahq.org/For-Members/Clinical-Information/2008-ASA-Recommendations-for-PreAnesthesia-Checkout.aspx.
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Topic Outline- 引言
- 麻醉诱导前准备
- 患者到达手术室前
- - 麻醉机检查
- - 气道设备准备
- - 药物准备
- 患者到达手术室后
- - 监测
- - 静脉通路
- - 操作前核查清单
- - 诱导和预吸氧(去氮)体位
- 麻醉诱导技术的选择
- 静脉麻醉诱导
- 吸入麻醉诱导
- 静脉麻醉诱导:药物选择
- 丙泊酚
- 依托咪酯
- 氯胺酮
- 巴比妥类药物
- 吸入麻醉诱导:实施与药物选择
- 实施
- 药物选择
- - 强效挥发性吸入麻醉药物
- 七氟烷
- 地氟烷
- 异氟烷
- 氟烷
- - 一氧化二氮气体
- 辅助用药:药物选择
- 阿片类药物
- - 芬太尼
- - 瑞芬太尼
- - 舒芬太尼
- 利多卡因
- 苯二氮卓类
- 右美托咪定
- 血管加压药
- 神经肌肉阻断药:药物选择
- 琥珀胆碱
- 非去极化神经肌肉阻断药
- - 罗库溴铵
- - 维库溴铵
- - 顺阿曲库铵
- - 阿曲库铵
- - 泮库溴铵
- 舒更葡糖
- 患者特定和操作特定的考虑因素
- 误吸风险
- 潜在困难气道
- 血流动力学不稳定或低血容量
- 年龄较大
- 妊娠
- 特定疾病状态
- 非常简短或需要神经监测的手术
- 总结与推荐
- 原则
- 诱导药物的选择
- REFERENCES
GRAPHICS
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