2011 Anesthesiology Problem based learning with Evidence Base 就照号码分配大家要查的内容 血液那本考试会考，那我也每个人都印 星期四麻醉结束讨论 没来的也麻烦下课来一下 PBL档案 http://www.megaupload.com/?d=OPGFMEZR 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？ <4号> 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 <14号> b、 Procedures in performing the painless labor <14号> c、 How is painless labor working to palliate the labor pain?<24号> d、 Indications and contraindications<24号> 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？ <34号>. 2. Discussing anesthesia for the emergent cesarean section. Including: a、 pre-anesthesia evaluation for a pregnant woman. <44号> 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.<54号> 3. How to manage the postoperative pain<64号> --

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