پاورپوینت بیهوش کننده های عمومی (pptx) 57 اسلاید
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بنام خدا
بیهوش کننده های عمومی
جراحی قبل از بیهوشی
تاریخچه
Joseph Priestly – discovers N2O in 1773
General anesthesia was absent until the mid-1800’s
William Morton administered ether to a patient having a neck tumor removed at the Massachusetts General Hospital, Boston, in October 1846.
Chloroform
Cyclopropane
The discovery of the diethyl ether as general anesthesia was the result of a search for means of eliminating a patient’s pain perception and responses to painful stimuli.
(CH3CH2)2O
From Greek anaisthesis means ”not sensation
6
بیهوشی عمومی
-Hypnosis (unconsciousness)
-Amnesia
-Analgesia
-Immobility/decreased muscle tone (relaxation of skeletal muscle)
-Reduction of certain autonomic reflexes (gag reflex, tachycardia, vasoconstriction)
انواع بیهوش دهنده ها
Volatile anesthetics: Low vapor pressures and thus high boiling points so that they are liquids at room temperature (20 o C)
Gaseous anesthetics: High vapor pressures and low boiling points
داروهای بیهوشی
A drug that brings about a reversible loss of consciousness
Generally administered by an anesthesiologist in order to induce or maintain general anesthesia to facilitate surgery.
Induction- initial entry to surgical anesthesia
Maintenance- continuous monitoring and medication
Maintain depth of anesthesia, ventilation, fluid balance, hemodynamic control, hoemostasis
Emergence-resumption of normal CNS function
Extubation, resumption of normal respiration