歲月麻醉

Anesthesia,Joyful Life

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醫師授權

是規範還是緊箍咒！

麻醉科的用藥，最普遍的是嗎啡類止痛藥，所有臨床醫師都會也常常使用，又比如局部麻醉劑，更是如此！不過最近發現，麻醉科用藥快要淪陷光了！ 急診醫師插管，以前只會打valium，接著會打midazolam，現在已經在打 etomidate ＋ esmeron了！外科開刀後，以前都自己打morphine infusion，現在ICU 不是只有 propofol sedation, 已經出現 fentanyl infusion了！

有了JCI 評鑑，醫院也知道所謂醫師授權的事，所以為了IV sedation, 也辦了一系列的授權演講會，說穿了也就是為臨床醫師開一堂，快速學分授予課程，真不知道，要為麻醉科感到驕傲還是悲哀？

最近美國FDA發現麻醉藥物濫用的問題，因此興起所謂醫師處方授權的規範辦法。

F.D.A. to Place New Limits on Prescriptions of Narcotics

WASHINGTON — Many doctors may lose their ability to prescribe 24 popular narcotics as part of a new effort to reduce the deaths and injuries that result from these medicines』 inappropriate use, federal drug officials announced Monday.

新聞來源：NewYork Times 


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2009年11月20日 星期五 at 凌晨3:21

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