右美托嘧啶的临床应用.ppt

右美托咪定的临床应用 云南省第二人民医院 昆明医学院第四附属医院 云南省红十字会医院 麻醉科 苏国宁 作用机制 相对禁忌 休克需高浓度升压药维持血压的病人 房室传导阻滞的病人 未控制的高血压患者 右旋美托咪啶在神经外科麻醉中的应用天津医科大学总医院麻醉科 苗鲁民 于泳浩 在功能性神经外科手术中的应用 Bekker 等首次报道了DEX 用于开颅左颞肿瘤切除术期间语言区定位, 术中唤醒的辅助用药。 Ard J 等报道DEX 首次用于儿童开颅术中唤醒, 成功地进行了皮质语言区的定位和癫灶的切除。 在清醒颈动脉内膜切除术中的应用 DEX 已成功地被应用于清醒颈动脉内膜切除术( CEA)的镇静 在颅内手术中的应用 DEX 减少脑血流量的作用保证了术中无脑肿胀, 提供了良好的手术条件 Tanskanen 等在54 例开颅幕上肿瘤切除术的患者中, 证实DEX 可以削弱各种有害刺激如插管期、苏醒期及拔管即刻的血流动力学反应, 增加术中心血管稳定性 脊柱外科 Dexmedetomidine in awake craniotomy: a technical noteJohn L. Ard Jr, MDa,*, Alex Y. Bekker, MD, PhDa, Werner K. Doyle, MDbDepartments of aAnesthesiology and bNeurosurgery, New York University Medical Center, New York, NY 10016, USAReceived 7 July 2003; accepted 24 February 2004 Background: Resection of lesions in eloquent areas of the brain are sometimes best done with the patient awake. An awake patient provides neurological feedback as the lesion is resected. This increases the chances of a complete resection without leaving a patient neurologically devastated. Unfortunately, this procedure is not always well tolerated by the patient. Methods: We performed a case series of awake craniotomies using a dexmedetomidine infusion. Results: All 17 patients included in our study tolerated the procedure well with no major complications. Conclusions: The addition of dexmedetomidine to our technique improves safety and comfort for patients undergoing awake craniotom Surgical Neurology 63 (2005) 114–117. Dexmedetomidine vs midazolam for monitored anaesthesia careduring cataract surgeryJ. A. Alhashemi* Conclusion. Compared with midazolam, dexmedetomidine does not appear to be suitable for sedation in patients undergoing cataract surgery. While there was a slightly better subjective patient satisfaction, it was accompanied by relative cardiovascular depression and delayed recovery room discharge. Br J Anaesth 2006; 96: 722–6 我的一