新建麻醉学07wasva吸入麻醉wsava1intro inhal eqpt42ch final.pptxVIP

Does Inhalation Anaesthesiamake a difference? 吸入麻醉会有不同吗？;Sir Humphrey DaveyConducted narcosis experiments with N2O in chickens dogs in 1821, about 25 years before the “discovery” of anaesthesia.;Dr Oliver Wendall Holmes Dr Crawford Long named “Anesthesia” anaesth. James Venable March 1842;History of the Usage of Inhalation Anaesthetics 吸入麻醉的使用历史;Pentobarbitone anaesthesia in a dog - no O2 or intubation  Mortality 1% to 1.8% - c. 1955-1957 CSU 使用戊巴比妥对犬进行麻醉 – 无氧气或气管插管死亡率 1% - 1.8% - c. 1955-1957 CSU ;Halothane O2 anaesthesia in an intubated dog with HR monitor  Mortality 0.4% - c. 1979-1981 CSU使用氟烷 氧气在有心率监测的情况下对犬进行麻醉死亡率 0.4% - c. 1979-1981 CSU;Isoflurane O2 anaesthesia in an intubated dog with continuous HR, BP, SpO2 and CO2 monitoring  Mortality 0.25% - c. 1990 CSU使用异氟烷 氧气在有气管插管犬上麻醉，在持续监测心率、血压、血氧饱和度和二氧化碳的情况下， 死亡率 0.25% - c. 1990 CSU;Small Animal Anaesthesia 小动物麻醉Reported Mortality 已报道死亡率;Dodman et al. JAAHA 28:439; 1992Reported Morbidity Mortality 报道的致病率 死亡率;Hosgood G Scholl D FAVA Congress 1997LSU VTH 1995/96: 925 dogs 6 mo;;Hosgood G Scholl D FAVA Congress 1997LSU VTH 1995/96: 925 dogs 6 mo;Inhalation Anaesthesia Lowering Mortality 吸入麻醉降低死亡率- Intubation 气管插管:  no airway obstruction  不会气道阻塞- FiO2 50-95%: no hypoxia 不会缺氧- Predictable anaesthesia  可以预知的麻醉状态: still, relaxed analgesic 不动、放松 痛觉消失- Ventilation 呼吸换气:  treat apnoea 治疗窒息 - Continuous monitoring 持续的监测;Objectives for Anaesthesia 麻醉要达到的目的;Perfusion 血液灌流;Inhalation Anaesthesia Equipment Purpose 使用吸入麻醉设备的用途;Oral Translation Done by INTERVET PPT Translation Done by Hill’s China;;Inhalation AnaesthesiaEquipment吸入麻醉设备;Veterinary vs Human Anaesthesia Machines兽医麻醉机和人医麻醉机的比较;Anaesthetic Machine Components麻醉机的部件High pressure 高压区1-3 O2 supply 氧气源4,5 Regulator 调节器Medium Pressure中压区6,7 Flowmeter 流量计8 Emergency O2