資源描述:
《【臨床麻醉學(xué)教案】復(fù)合麻醉與聯(lián)合麻醉》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、課程名稱:臨床麻醉學(xué)教材名稱:臨床麻醉學(xué)授課時(shí)間:授課對(duì)象:麻醉專業(yè)教學(xué)內(nèi)容:復(fù)合麻醉與聯(lián)合麻醉計(jì)劃學(xué)時(shí):4學(xué)時(shí)重點(diǎn):復(fù)合麻醉的概念及應(yīng)用原則全憑靜脈麻醉概念難點(diǎn):各種復(fù)合麻醉方法及注意事項(xiàng)教學(xué)目的:掌握復(fù)合麻醉的概念及應(yīng)用原則、全憑靜脈麻醉概念熟悉各種復(fù)合麻醉方法及注意事項(xiàng)、優(yōu)點(diǎn)了解各種復(fù)合麻醉誘導(dǎo)及維持教學(xué)方法:啟發(fā)式教學(xué)、理論聯(lián)系實(shí)際教具(掛圖幻燈投影及CAI等):CAI新內(nèi)容新知識(shí)(注明來源及所占比例):麻醉期間藥物的相互作用,咪呼安定、異丙酚藥理作用來源于《Anesthesia》、占20%夕卜語關(guān)鍵詞:balancedanesthesia>combinedanesthesia^
2、totalintravenousanesthesia、synergism>additive>antagonism參考資料:《現(xiàn)代麻醉學(xué)》第三版、《Anesthesia》(Miller第六版)、《中華麻醉學(xué)雜志》、《國外醫(yī)學(xué)麻醉學(xué)分冊》課堂設(shè)計(jì):導(dǎo)課、介紹重點(diǎn)10設(shè)問、講解復(fù)合麻醉的概念、優(yōu)點(diǎn)、種類20CAK講解、舉例復(fù)合麻醉的應(yīng)用原則20CAI.講解、舉例靜吸復(fù)合麻醉方法20CAI.講解、舉例靜吸復(fù)合麻醉注意事項(xiàng)15CAI、講解、舉例全憑靜脈麻醉的概念15CA1、講解、舉例普魯卡因靜脈復(fù)合麻醉方法10CAI、講解、舉例普魯卡因靜脈復(fù)合麻醉注意事項(xiàng)10CAI、講解、丙泊酚靜脈復(fù)合麻醉方法1
3、5CAT.講解、舉例丙泊酚靜脈復(fù)合麻醉注意事項(xiàng)15CAI、講解、舉例氯胺酮靜脈復(fù)合麻醉方法10CA1、講解、舉例氯胺酮靜脈復(fù)合麻醉注意事項(xiàng)10CAI、講解、舉例全麻與非全麻靜脈復(fù)合麻醉15CAI、講解、舉例針刺鎮(zhèn)痛的應(yīng)用10CAI.講解總結(jié)、歸納5板書、講解教學(xué)過程:Chapter11BalancedandCombinedAnesthesiaIntroduction:Background:2.Balaneedorcombinedanesthesia:3.Forte:2.Commonlyusedmethod:intravenousanesthesia+inhalationanesthesi
4、atotalintravenousanesthesiageneralanaesthesia+othersApplicationprincipleofcombinedanesthesia1.Selectdrugsreasonably:synergism、additive>antagonism2.Judgedepthofanesthesiaaccurately3.Enhanceperiaaestheticmanagement4.Optimizedrugsscheme:5.Mmaintenanceindividualization6.Combinationofdifferentanesthet
5、ictechniquesCombinedIntravenous?InhalationalanesthesiaIntroduction:conceptmethod一、Anestheticmethod:1.Inductionofanesthesia(麻醉誘導(dǎo)):(1)intravenousinduction:thiopentaketomidate、propofokmidazolamfentanyl+scoline、vecurium(2)inhaledinduction:2.Maintenanceofanesthesia(麻醉維持):(1)inhalationanesthesia:(2)int
6、ravenousbalaneedanesthesia:propofol+ketaminemidazolam+ketamineprocaine+ketaminedroperidol+fentanyl(3)IntravenouscombinedInhalationanesthesia二、Announcements(注意事項(xiàng)):Individualization2.Endotrachealtube3.Accuratelymonitoring4.Minimumeffectivedose5.ResiduaryeffectofanestheticsTotalintravenousanesthesia
7、(全憑靜脈麻醉)一、Totalintravenousanesthesia,TIVA:二、IntravenouscombinedanesthesiabyProcaine:(一)Anestheticmethod:1.Inductionofanesthesia:2.Maintenaneeofanesthesia:1%procaine(_)Indications:(三)contraindications:(四)Announcements:靜