(郭曲练)深麻醉的影响2014.9.21辩析.pptVIP

“深”麻醉对术后死亡率的影响被高估 观察人群死亡率0.8%-24.3% 死亡率受其它主要因素影响，如恶性肿瘤 低BIS与吸入麻醉累计剂量和时间没有联系，麻醉维持阶段BIS与呼末吸入气体浓度相关性不强 Monk TG，et al. Anesthetic depth is a predictor of mortality: its time to take the next step.Anesthesiology. 2010 May;112(5):1070-2 Leslie K,et al. Sedation depth and mortality: a large randomized trial is required. Anesth Analg.2014 May;118(5):903-5. Kurata J. Deep hypnosis as a sign of imbalance in balanced anesthesia. Anesth Analg. 2010 Mar 1;110(3):663-5 Whitlock EL,et al. Relationship between bispectral index values and volatile anesthetic concentrations during the maintenance pha