Anesthesia for critically ill patients
|
Accession number;04A0334436
|
| Title;Anesthesia for critically ill patients |
| Author;
MATSUDA NAOYUKI
(Hokkaido Univ., Graduate School of Medicine, JPN)
KENMOTSU OSAMU
(Hokkaido Univ.)
|
Journal Title;Clinic All-round
|
Journal Code:Z0697A
|
ISSN:0371-1900
|
|
VOL.53;NO.;PAGE.789-794(2004)
|
| Figure&Table&Reference;FIG.2, TBL.1, REF.5 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A basis of the anesthesia is in the control of atypical absence, analgesia, muscle relaxation and noxious reflection. A basis of the anesthesia for emergency patient is in the whole body control based on the pathophysiology corresponding to technology and intensive care for easing sympathetic nerve which is tensed excessively. The description was made in the following order : 1) General (significance of anesthesia, emergency disease which requires the anesthesia : Subarachnoid hemorrhage, acute myocardial infarction, dissociation aortic aneurysm, multiple trauma, etc. Points to be noticed on anesthesia of emergency patients : Patient information, full stomach, lowering of blood pressure and hypothermia), 2) Attention on preparation for anesthesia (Artificial respirator and inspection of circuit and monitor, bloody arterial pressure line, central vein route, expiration gas monitor, syringe pump, heating system, rapid fluid therapy pump and fluid therapy heater, preparation of the drug), 3) Technique of anesthesia (Introduction of anesthesia : Knacks and points of tracheal intubation, tracheal intubation to injured patients, tracheostomy, anesthesia introduction method and anesthetics (thiopental, suxamethonium, fentanyl, ketamine), The attention of maintenance of anesthesia : Avoid combined use of nitrous oxide (nitrous oxide), epidural anesthesia, respiratory care, circulation management, diuresis, fluid therapy and acidosis, blood transfusion, body temperature management, drugs used in maintenance of anesthesia and contrivance of management (analgesia, killing, usage of muscle relaxant), anesthesia arousal). |
|
|
|
Related Articles;
|
|
