培训课件--休克病人的镇静镇痛治疗.pptVIP

总 结： 真的重要！ 恰当的浅镇静，有效镇痛 监测镇静相关的呼吸循环影响 推荐：休克早期复苏时选择 氯胺酮+咪唑安定 Thank you for your attention BACKGROUND:Anesthesia can become inadequate inadvertently or by misjudgment during surgery or emergence, and the surgical stress and pain stimulation will increase without adequate treatment. Overt stimulation may activate the sympathetic nervous system, increase the blood level of catecholamines, and lead to splanchnic arterial vasoconstriction. Dexmedetomidine prevents alterations of intestinal microcirculation that are induced by surgical stress and pain in a novel rat model. Yeh YC, Anesth Analg. 2012