歲月麻醉

Anesthesia,Joyful Life

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小麻醉也會死人

通俗的話叫小麻醉,行話稱作,intravenous sedation and analgesia,以前婦產科診所作最多的人工流產手術,即為代表之一。 只要是手術,就會用到麻藥,現在中華民國的法律,除非是全身麻醉,否則不需要麻醉醫師執行麻使醉,最常見的是使用局部麻醉技術,不過這項技術有幾個缺點,1. 不完全,2.很痛,3病人很焦慮,有可能發生Pain shock,因此,給予少量的鎮靜麻醉劑就成為後續理所當然的配套措施,牙科眼科,幾乎不用, 內視鏡檢查後來居上,據報載也有因為使用propofol而死人的。美國的ASA因此出了一個指引,寫給非麻醉專科醫師看的,個人在舊站(已經掛掉)提到,全篇看完,如果頭腦夠清楚的話,就會發現其實這是變相的綁標,當然最終受惠的應該還是民眾!

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