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相关概念视频

General Anesthesia: Overview01:24

General Anesthesia: Overview

240
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Stages of General Anesthesia01:22

Stages of General Anesthesia

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
495
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

154
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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在清醒状态下进行骨切割的麻醉:一个案例报告.

Ahmed Khaled Alanzi1, Samah Hakmi1, Shahid Adeel1

  • 1Anesthesia Department, King Hamad University Hospital, Building 2435, Road 2835, Block 228, P.O Box 24343, Busaiteen, Kingdom of Bahrain.

Journal of surgical case reports
|September 19, 2023
PubMed
概括

醒着的头骨切除术 (AC) 是一种神经外科手术,用于精确切切地切除脑瘤. 这项案例研究突出显示,在使用AC和有意识镇静治疗的患者中,成功切除瘤.

科学领域:

  • 神经外科 神经外科
  • 神经学 神经学
  • 在瘤学瘤学.

背景情况:

  • 醒着的骨切除术 (AC) 是一种神经外科技术,因其在手术期间绘制功能性大脑网络的能力而越来越多地使用.
  • 这种方法与手术后并发症的减少有关.
  • 和脑瘤往往需要手术干预,需要保存神经功能的技术.

研究的目的:

  • 在患有难以治愈的发作的患者中,使用清醒切除术 (AC) 成功切除瘤的案例.
  • 为了说明在AC期间意识镇静技术的应用,用于移除脑瘤.

主要方法:

  • 这项研究涉及一名31岁的女性患者,她被诊断出脑部占用大脑空间的病变,怀疑是低度质瘤.
  • 患者接受了清醒的骨切除术 (AC),并使用有意识的镇静,使用remifentanil和propofol输液.
  • 采用了手术内脑映射和实时监测,患者在整个手术过程中对指令做出反应.

主要成果:

  • 使用局部头皮麻醉和全身普罗波输液的组合,成功切除了脑瘤.
  • 在醒着的骨切割手术过程中,患者保持了反应和神经稳定.
  • 神经外科干预治疗了被怀疑是低度质瘤的占用空间的病变.
关键词:
麻醉是一种麻醉.大脑大脑大脑的大脑大脑这是一个复杂的并发症.维护维护维护维护维护维护维护发作 发作 这些

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结论:

  • 醒着的骨切除术 (AC) 是切除脑瘤的可行且有效的技术,特别是在雄辩的区域.
  • 使用诸如普罗波福和雷米芬坦尼尔之类的药物进行有意识的镇静,可以安全有效地进行手术内脑图绘制和功能监测.
  • 这一案例证明了AC在治疗脑损伤导致的患者中的成功应用.