请大家看看教案 否则下礼拜五就只能跟主任乾瞪眼10分钟~~!! 附在下面 另外有上传DOC档在免空 http://www.megaupload.com/?d=OPGFMEZR 请组长要找组员事先讨论喔!!~~ 2011 Anesthesiology Problem based learning with Evidence Base 学习重点： 1. 减痛分娩的使用时机。 2. 减痛分娩的作用机转。 3. 剖腹生产时的术前评估及注意事项？ 4. 产妇剖腹生产时，全身及区域阻断的优劣点。 5. 术後止痛的方式。 A 37-year-old pregnant woman with a gestational age of 42 weeks (G1P0) and regular uterine contraction, was admitted for induction. EBM 1. 产妇问：虽然减痛分娩可以减少产痛，但对於我的孩子会不会有影响？ She received painless labor to palliate her labor pain during induction after admission. 1. Please discuss the procedures in painless labor. Including: a、 Necessary evaluation before this procedures b、 Procedures in performing the painless labor c、 How is painless labor working to palliate the labor pain? d、 Indications and contraindications However, 4 hours after induction, moderate to severe bradycardia (below 80 BPM) with loss of beat-to-beat variability was noted on the fetal heart beat monitor, and emergent cesarean section was planned under impression of fetal distress. EBM2. 产妇问：剖腹生产做区域麻醉或全身麻醉比较好？ 2. Discussing anesthesia for the emergent cesarean section. Including: a、 pre-anesthesia evaluation for a pregnant woman. b、 Which anesthesia method (general anesthesia with endotracheal intubations, spinal anesthesia and epidural anesthesia) you will choose for the patient’s cesarean section? Please discuss the advantages and disadvantages of each method. 3. How to manage the postoperative pain --

※ 发信站: 批踢踢实业坊(ptt.cc) ◆ From: 122.117.39.55