命追大 RldE Acute Pain Management 钟泰迪 浙江大学医学院附属邵逸夫医院
Acute Pain Management 钟泰迪 浙江大学医学院附属邵逸夫医院
命追大 acute pain acute pain is defined as pain that is present in a surgical patient after a procedure Such pain may be the result of trauma from the procedure or procedure-related complications
acute pain ? • acute pain is defined as pain that is present in a surgical patient after a procedure. • Such pain may be the result of trauma from the procedure or procedure-related complications
命追大 Pain management in the perioperative setting refers to actions before, during, and after a procedure that are intended to reduce or eliminate postoperative pain before discharge
• Pain management in the perioperative setting refers to actions before, during, and after a procedure that are intended to reduce or eliminate postoperative pain before discharge
命追大 w2个型病人例 47岁结肠ca 全麻加硬膜外L2-3 试验量加追加量 广平面,无应急 低血压,慢心率 需麻黄碱间断升压 1-2%七氟醚 Bis监测
2个典型病人-例1 • 47岁结肠ca • 全麻加硬膜外L2-3 • 试验量加追加量 • 广平面，无应急 • 低血压，慢心率 • 需麻黄碱间断升压 • 1-2%七氟醚 • Bis监测
命追大 术后立刻安静苏醒 术后硬膜外镇痛(PCEA) 0. 125%Ropicaine+ Fentanyl 1ug/ml, 8m//H 追加5m锁定30min 两点低血压关镇痛泵, ·5点出现疼痛 APS8点30分查房进行处理
• 术后立刻安静苏醒 • 术后硬膜外镇痛（PCEA） 0.125%Ropicaine+Fentanyl 1μg/ml,8ml/H, 追加5ml锁定30min • 两点低血压关镇痛泵， • 5点出现疼痛 • APS8点30分查房进行处理