Acute severe trauma patients anesthetic risk handling.docVIP

 PAGE \* MERGEFORMAT 7 Acute severe trauma patient’s anesthetic risk handling [Keywords] Anesthetic management of patients with severe trauma Severe trauma patients with complex disease, characterized by dramatic changes, some patients with severe trauma patients with life-saving surgery is the only effective measures should be implemented as soon as possible. Severe trauma patients before surgery should be given the appropriate amount of pain, sedatives, to eliminate patient stress and fear, unconscious or dying patients only with anti-cholinergic drugs, the state of shock patients, preferably a small amount, graded intravenous administration. The selection of such patients can be based on the patient anesthesia, surgery requires use of local anesthesia, spinal anesthesia or general anesthesia, use general anesthesia with endotracheal anesthesia is appropriate, it can ensure adequate oxygen, it is beneficial for respiratory control, and allows the anesthesiologist to have more time to deal with circulation problems. now severe trauma patients admitted to hospital anesthetic management is as follows. 1 Clinical data The group of 35 patients, 30 males, 5 females, aged 2 to 57 years, mean 24.2 years, duration of one to several hours, are in emergency surgery, including traumatic brain injury in 10 cases, liver and spleen rupture in 15 cases, cardiac puncture injuries in 2 cases, gastrointestinal kidney rupture in 8 cases, combined blood pneumothorax in 5 cases, 15 were associated with varying degrees of trunk limbs combined injury and hemorrhagic shock. anesthesia and operation time of up to 570min, the shortest 40min, an average of 165min. 2 Anesthesia Accompanied by severe trauma such as multiple fractures, head and neck, trunk injury patients, surgery under general anesthesia should be used, but must avoid the deep anesthesia, the patient is actually anti-shock response has been relatively slow to pain, just to maintain light