作者kklady3 (雰)
看板CSMU-MED95
标题[麻醉] 甲班尾数是0的同学请进
时间Tue Nov 8 21:30:46 2011
我也不知道怎麽分比较好,就借用一下其他组长的分法
血液那本既然说是考试也会考,那我也每个人都印
有问题的话明天座谈会前大家可以讨论一下~
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?<10>
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 <20>
b、 Procedures in performing the painless labor <20>
c、 How is painless labor working to palliate the labor pain?<40>
d、 Indications and contraindications<40>
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? <50>.
2. Discussing anesthesia for the emergent cesarean section. Including:
a、 pre-anesthesia evaluation for a pregnant woman. <60>
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.<60>
3. How to manage the postoperative pain<70>
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