歲月麻醉

Anesthesia,Joyful Life

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呼吸刺激劑

古老時代恢復室有一種呼吸刺激劑,是從新生兒的用藥doxapram來的!一直都沒有用過,不過,中國大陸,還是有些地方在使用,歐美系統,此類藥物已經送入博物館,因為該藥物使用的邏輯,就理論與實用性來說,都屬於恐龍級!

最近有一個narcolepsy的案例,查找文獻,又繞回中樞(呼吸)刺激劑,這個東東!所以將舊文章po上來!

麻醉甦醒期躁動一例

患者,男,68歲,體重64kg。全麻下行腹腔鏡膽囊切除術。麻醉用藥:誘導:咪唑安定3mg,,芬太尼0.05mg,羅庫40mg,丙泊酚100毫克。術中用丙泊酚600mg, 芬太尼0.1mg。手術歷時1.5小時。術後給予新斯的明2mg,阿托品1mg,佳蘇侖一支,氟馬西尼一支。給藥後患者恢復自主呼吸。隨後躁動不安,極度不配合。
請教:1.躁動不安的原因?
2.如何預防及處理? 

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