全身麻醉常规（General anesthesia routine）.docVIP

全身麻醉常规（General anesthesia routine） Section 1 preparation before anesthesia First, preparation before anesthesia and premedication 1, preoperative visit, grasp the condition and physical examination, examination and examination results, ASA classification, to assess the disease, predict the risk of anesthesia and surgery. 2, fasting before anesthesia, 6 to 8h, and emergency stomach filling patients should choose clear trachea intubation. 3. Introduce the anesthesia program and safety measures, eliminate the patients concerns and get cooperation. 4, before anesthesia conversation and signature: in order to improve the management measures must be carried out before anesthesia and general anesthesia after the conversation, a detailed explanation of the accident and complication may obtain the patient, understanding and understanding in anesthesia consentform. Talk by the responsible anesthesiologist shall also be signed. 5, 0.1mg/kg: midazolam premedication, scopolamine 0.006mg/kg or atropine 0.01mg/kg or penehyclidine hydrochloride 0.01-0.02mg, morphine 0.2mg/kg for cardiovascular patients before the operation, both in the preoperative 30min intramuscular injection. Medication before anesthesia should be appropriately adjusted according to the patients condition: Poor condition, old age, infirmity, shock, hypothyroidism, and bad fluid should be reduced; Young, strong, excited, hyperthyroidism patients should be increased dosage as appropriate; The respiratory function is not good, the intracranial pressure is higher, and the narcotic analgesic is forbidden: The dose of anticholinergic drugs should be slightly larger before general anesthesia in children; The tachycardia, hyperthyroidism, fever, summer, not to use atropine, scopolamine. 6 anesthesia preparations and drugs: anesthesia machines, intubation instruments, suction devices, anesthetics and rescue drugs. Two general anesthesia monitoring 1. Basic monitoring items: non-invasive blood pressure, heart rate, electr