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general anesthesia in patients with agitation and care(全身麻醉患者的焦虑和关怀)
General anesthesia in patients with agitation and care
Paper to write on behalf of Network: emergence agitation is a frequently encountered problem in our work in general anesthesia, postoperative patients care, patients with involuntary movements, the occurrence of varying degrees of involuntary movements in patients with accidental injuries can cause serious and even affect The success of the operation or not. Collected 226 cases of patients with general anesthesia agitation, restlessness cause analysis, and implementation of effective interventions are as follows.
1 clinical data Hospital from July 2010 to 2011 in July anesthesia emergence agitation in patients with 226 cases, 132 cases were male and 94 cases of women aged 15 to 83 years, including 96 cases of general surgery, thoracic surgery 65 cases, 32 cases, gynecological, orthopedic 18 cases, 15 cases of ENT. 226 cases of patients with tracheal intubation, postoperative patients into the recovery room, both conventional ventilator-assisted breathing, heart rate (law, blood pressure, blood oxygen saturation monitoring.
Two patients with restless because 2.1 pain wake of incisional pain after general anesthesia irritable common cause of [1]. 2.2 endotracheal tube to stimulate the recovery period patients felt the stimulus of the endotracheal tube to the throat, trachea, combined with suctioning of respiratory irritation, patients will be difficulty in breathing, nausea, body twisting, shaking his head, limbs, tamper response.
2.3 Foley catheter to stimulate the stimulus occurred in male patients, which is determined physiological anatomy of the male urethra. Catheterization in patients after anesthesia due to the lack of feeling the discomfort caused by indwelling catheter prior to surgery, poor tolerance, post-operative recovering from the strong reaction [2], even if the bladder is filling, patients always want to urinate.
2.4 complications of hypoxemia, hypotension, hyp
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