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<table border="0" cellpadding="3" cellspacing="1" width="100%" class="forumline"> <tr> <th class="thCornerL" width="22%" height="26">Autor</th> <th class="thCornerR">Wiadomość</th> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>yxgaxjlywf</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://picsrv.fora.pl/xeon/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Wysłany: Pią 18:09, 25 Mar 2011<span class="gen"> </span> Temat postu: 179 cases of traumatic brain injury Anesthesia _60</span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">179 cases of traumatic brain injury Anesthesia <br /> <br /> <br />Atropine, indwelling catheter. Operative position head elevation 1o ~ l5 degrees , but shock patients disabled. ② induction of anesthesia should be smooth to avoid choking when intubation, and hold your breath. Additional time after intubation, anesthesia and respiratory support , surgery to control the light anesthesia state. Section 1 of the suction enflurane anesthesia or isoflurane anesthesia can be deepened in a timely manner , while also lowering intracranial pressure. Sodium hydroxybutyrate has a good sedative and hypnotic effects . And no effect on cerebral blood flow . Lytic cocktail sedation , analgesia and reduce Nie ideal blood flow and cerebral oxygen consumption. Surgery a few times to maintain an additional medication , in particular, / J '. JL , and elderly patients to be more careful surgery to keep the airway clear of blood , secretions . ⑨ traumatic brain injury with intracranial hypertension signs, most of the preoperative and intraoperative time to enter the dehydrating agent according to the condition , often 2O mannitol or sorbitol 25 dose of 1. o ~ 2. og / kg. IV completed in a short time . When necessary, intravenous furosemide ④ cranial Nie more blood loss , but due to increased intracranial pressure caused by high blood pressure often inherent in hemorrhagic shock cover up the signs , such as failure to blood transfusion, surgery to lift once the cause ( such as hematoma evacuation ) decreased intracranial pressure ,<a href="http://www.p90xworkoutscalendar.com" target="_blank" class="postlink">p90x workout calendar</a>, shock appears . In particular, 4 ', JL mainly to the input of whole blood , blood transfusion may lose a small amount of intermittent fluid balance l for non- bleeding from the blood pressure drop can be quiet about depression lOOral 5o glucose , no more than 2oon-, J, if no response then l Pressure medicine. Common metaraminol , dopamine and norepinephrine , the dose can be determined according to the disease . 4 Summary The main purpose of Nie trauma is to remove the hematoma and bleeding. Anesthesia endotracheal anesthesia is generally used is appropriate. Conducive to clear respiratory secretions or foreign bodies , and implementation of adequate oxygen hyperventilation, such patients are often very sensitive to anesthetics . Surgery should be controlled in the light anesthesia state. Often accompanied by intracranial hypertension blood pressure was significantly increased. Once opened a skull flap , the blood pressure to drop to undetectable fork extent , therefore, must be prepared for rapid blood transfusion . Anti further cerebral hypoxia . Stable anesthesia and intraoperative blood transfusion right time , transfusion is the prerequisite for success or failure of surgery .</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="http://picsrv.fora.pl/xeon/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> </table>
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