艾司洛尔错误应用10例（Esmolol was used in 10 cases）.docVIP

艾司洛尔错误应用10例（Esmolol was used in 10 cases） Esmolol (Ace Carol, esmolol) is a rapidly acting, selective, beta 1 adrenergic blocker that acts primarily on the beta adrenergic receptor of the myocardium in 1. Since most patients are well tolerated by esmolol, they have been widely used in the control of perioperative hypertension and / or supraventricular tachycardia in recent years. Because of the lack of understanding of the pharmacological effects of this beta blocker, superficiality and inappropriate indications and contraindications, the drug has been incorrectly used in the perioperative period and has resulted in severe consequences. Recently I in medical professional online (dxy/bbs) search esmolol or Ace Carol or love network a few keywords, 10 typical cases of selected cases of perioperative application of Ace Carols mistake, the case summary plus a brief analysis of individual listed out, in order to arouse discussion. The errors in these 10 cases are broadly divided into 3 cases: 1. For the control of sinus tachycardia in patients with major bleeding, severe low blood volume, and / or shock; 2 、 combined with or use of step-up drugs to treat the concurrent tachycardia in the anti boost therapy. 3. During the perioperative period, there is no cause for supraventricular tachycardia, and Ace Carol is used directly to correct the supraventricular tachycardia. 4, within the scope of indications, but do not pay attention to dosage. The case of the error on the Internet has been heated discussion, users have also analyzed and commented. In view of typical misuse, personally think that to discuss, to alert the anesthesiology novices to keep in mind the painful lessons, it is necessary to avoid repeat similar mistakes. I would like to invite some friends to correct me. Appendix: 10 cases of perioperative use of esmolol Example 1: a case of sudden onset of sudden arrest of acute gallbladder surgery in the elderly (/bbs/post/view, bid=51id=7195866sty=3keywords=%B0%AC%C