脑创伤病人手术的麻醉处理.ppt

脑创伤病人手术的麻醉处理ANESTHETIC CONSIDERATION of TRUMATIC BRAIN INJURY;病例一;病例一;病例一;病例二;;脑创伤病人的特点;多系统功能障碍;麻醉处理;初期评估;;必要的急救;;麻醉前用药;监测;麻醉诱导;药物选择;The effect of etomidate on intracranial pressure and systemic blood pressure in pediatric patients with severe traumatic brain injury Bramwell KJ, Haizlip J, Pribble C, et al Pediatr Emerg Care. 2006 Feb;22(2):90-3;Ketamine for rapid sequence induction in patients with head injury in the emergency department. Sehdev RS, Symmons DA, Kindl K. Emerg Med Australas. 2006 Feb;18(1):37-44.;Ketamine for rapid sequence induction in patients with head injury in the emergency department. Sehdev RS, Symmons DA, Kindl K. Emerg Med Australas. 2006 Feb;18(1):37-44.;;麻醉维持;术中管理;术中血压管理;;过度通气;液体管理;关于浅低温;Serum and cerebrospinal fluid magnesium in severe traumatic brain injury outcome Stippler M, Fischer MR, Puccio AM, et al J Neurotrauma. 2007 Aug;24(8):1347-54;Magnesium for neuroprotection after traumatic brain injury Maas AI, Murray GD. Lancet Neurol. 2007 Jan;6(1):20-1 ;;Magnesium sulfate for neuroprotection after traumatic brain injury: a randomised controlled trial Temkin NR, Anderson GD, Winn HR, et al Lancet Neurol. 2007 Jan;6(1):29-38;Glutamate Level (μmol/L) ;Glutamate ;麻醉苏醒期处理;Update on the propofol infusion syndrome in ICU management of patients with head injury. Otterspoor LC, Kalkman CJ, Cremer OL. Curr Opin Anaesthesiol. 2008 Oct;21(5):544-51.;;Update on the propofol infusion syndrome in ICU management of patients with head injury. Otterspoor LC, Kalkman CJ, Cremer OL. Curr Opin Anaesthesiol. 2008 Oct;21(5):544-51.;感谢您的耐心！Thank you for your attention!