医疗通用模板0958套.pptxVIP

蛛网膜下腔阻滞 ——你该知道的N件事 目录 1. Concept 2. Procedure 3. Indication/Contraindication 4. Complications 目录 1. Concept 2. Procedure 3. Indication/Contraindication 4. Complications Concept 蛛网膜下腔 截断性阻滞 History Trendy Design in contemporary colors and styles - PowerPoint Templates Backgrounds, PowerPoint Diagrams Charts for your Presentation Doctors sometimes turn out to be their own best guinea pigs——Anne Fawcett. 目录 1. Concept 2. Procedure 3. Indication/Contraindication 4. Complications 注药 消毒铺巾 摆体位 定位 穿刺 调节平面 目录 1. Concept 2. Procedure 3. Indication/Contraindication 4. Complications Indication 下腹，盆腔 下肢 肛门会阴部 2-3小时内 休克 过敏 中枢神经系统疾病 脑脊膜炎、脊髓炎、颅压升高 凝血功能障碍 穿刺部位炎症或感染,败血症 脊椎外伤、结核 精神病/严重神经官能症/小儿 不能合作的病人 Contraindication 目录 1. Concept 2. Procedure 3. Indication/Contraindication 4. Complications Complication Infection Infection Hematoma Nerve Root Spinal Bleed Puncture Related Meningitis Arachnoiditis Abscess 1. Back or vertebral pain 2. Nerve root pain 3. Motor / sensory deficits or sphincter dysfunction. 4. Paraplegia or paralysis. Blood culture, CT, MRI Antibiotics Spinal cord Infection Hematoma Nerve Root Spinal Bleed Puncture Related Nerve root Infection Nerve Root Hematoma Spinal Bleed Prevention Observation Puncture Related Bleed Infection Hematoma Nerve Root Spinal Bleed 1.Venous plexus 2.Pregnancy/AVM 3.Subarachnoid hemorrhage Puncture Related Hematoma Infection Hematoma Nerve Root Spinal Bleed 1. Spinal 1:220,000 2. Epidural 1:150,000 3. Abnormal coagulation Puncture Related Drug Injection Drug Injection Cardiac arrest Low BP Phrenic nerve Respiratory depression Drug Injection Postoperative Postdural Puncture Headache(PDPH) Transient neurologic symptoms(TNS) Urinary Retention Backache Postdural Puncture Headache (PDPH) Treatment 1. Oral Analgesics 2. Bed rest 3. Hydration 4. Caffeine infusion 5. Epidural blood patch 1.Frontal/Occipital 2.Tinnitus/Diplopia 3.Upright position Backa