1、董庆龙董庆龙1ppt课件2 Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules. Pompeo ，et al. Ann Thorac Surg. 2004 Nov;78(5):1761-8 Awake nonresectional lung volume reduction surgery. Mineo TC, et al. Ann Surg. 2006 Jan;243(1):131-6 Epidural anesthesia in awake thoracic surge
2、ry. Mineo TC. Eur J Cardiothorac Surg. 2007 Jul;32(1):13-9. Epub 2007 Apr 27 Awake pulmonary metastasectomy. Pompeo E, Mineo TC. J Thorac Cardiovasc Surg. 2007 Apr;133(4):960-6 Awake operative videothoracoscopic pulmonary resections. Pompeo E, Mineo TC. Thorac Surg Clin. 2008 Aug;18(3):311-20. Awake
3、 operative videothoracoscopic pulmonary resections. Pompeo E, Mineo TC. Thorac Surg Clin. 2008 Aug;18(3):311-20. Comparative results of non-resectional lung volume reduction performed by awake or non-awake anesthesia. Pompeo E, Tacconi F, Mineo TC. Eur J Cardiothorac Surg. 2011 Apr;39(4):e51-8. Noni
4、ntubated Thoracoscopic Lobectomy for Lung Cancer. Chen JS, et al . Ann Surg. 2011 Aug 24. 现状现状2ppt课件麻醉前思考麻醉前思考皮肤胸膜肋间肌舒适性耐受性消除不 良记忆咳嗽反射3ppt课件麻醉前思考麻醉前思考 单侧肺呼吸 胸段硬膜外麻醉影响 静脉麻醉药物影响 手术体位 反常呼吸 纵膈摆动 心率失常 低血压 手术方式改变 出血 气道分泌物过多 持续低氧血症4ppt课件风险预计风险预计 持续时间持续时间酸中毒程度酸中毒程度 = =？允许：允许： PaC0PaC02 2升高升高 = = =？5ppt课件病例选
5、择病例选择6ppt课件病例选择病例选择 7ppt课件8常见术式常见术式8ppt课件9麻醉前用药麻醉前用药9ppt课件10硬膜外麻醉硬膜外麻醉10ppt课件11胸内迷走神经阻滞胸内迷走神经阻滞11ppt课件12静脉镇静、镇痛静脉镇静、镇痛12ppt课件13辅助治疗措施辅助治疗措施13ppt课件14生命体征监测与调控生命体征监测与调控14ppt课件15麻醉恢复期处理麻醉恢复期处理15ppt课件16ppt课件1717ppt课件18ppt课件19ppt课件20ppt课件21ppt课件22ppt课件23ppt课件24ppt课件25ppt课件26ppt课件27ppt课件28ppt课件29ppt课件30ppt课件31ppt课件32ppt课件33ppt课件34ppt课件
