十静脉快速诱导 Rapid-sequence Intravenous Induction ◆顺序给予催眠、安定药或静脉麻醉药及 肌松药行气管插管 ◆适用于一般情况好,无呼吸道梗阻,无 气管插管困难的病例
静脉快速诱导 Rapid-sequence Intravenous Induction 顺序给予催眠、安定药或静脉麻醉药及 肌松药行气管插管 适用于一般情况好,无呼吸道梗阻,无 气管插管困难的病例
Intravenous induction agents Agent induction dose(mg/kg) Diazepam 0.2 ◆ Midazolam0.1-02 ◆ Thiopental3-5 ◆ Etomidate0.3 ◆ Ketamine1-2 ◆ Propofol1.5-2.5 ◆ Fentany yl 5-6 ug/kg
Intravenous induction agents Agent induction dose (mg/Kg) Diazepam 0.2 Midazolam 0.1-0.2 Thiopental 3-5 Etomidate 0.3 Ketamine 1-2 Propofol 1.5-2.5 Fentanyl 5-6 μg/kg
Muscle elaxants(mg/kg) Depolarizing ◆ Succinycholine1-2 Nondepolarizing ◆ ecuronlum0.08-0.1 atracurium 0.3-0.6 o pancuronium 0.08-0.1 ◆ rocuronium0.6-1
Muscle Relaxants (mg/kg) Depolarizing Succinycholine 1-2 Nondepolarizing vecuronium 0.08-0.1 atracurium 0.3-0.6 pancuronium 0.08-0.1 Rocuronium 0.6-1
Induction of General anesthesia Rapid-sequence Intravenous Induction Disadvantage and complications >e Regurgitation and Vomitting Cardiovascular depression ◆· Respiratory depression HP istamine release ain on injection o. Hiccup and muscle movements
Rapid-sequence Intravenous Induction Disadvantage and complications ● Regurgitation and Vomitting ● Cardiovascular depression ● Respiratory depression ● Histamine release ● Pain on injection ● Hiccup and muscle movements
2.吸入麻醉诱导: 4 Inhalational Induction 适应症: 1.用于小儿麻醉时一般用刺激性小带甜味的强 效吸入麻醉药,如氟醚、七氟醚。 2.用于重症肌无力病人则采用具有肌松作用的 强效吸入麻醉药,如安氟醚、异氟醚,以避 免肌松药的使用。 3.其他情况
2.吸入麻醉诱导: Inhalational Induction 适应症: 1. 用于小儿麻醉时一般用刺激性小带甜味的强 效吸入麻醉药,如氟醚、七氟醚。 2. 用于重症肌无力病人则采用具有肌松作用的 强效吸入麻醉药,如安氟醚、异氟醚,以避 免肌松药的使用。 3. 其他情况