很抱歉慢了好幾天才分範圍(被踹) 繼續沿用前幾位組長的經典分法.. ------------------------------------------------------------------------- 2011 Anesthesiology Problem based learning with Evidence Base 學習重點： 1. 減痛分娩的使用時機。 2. 減痛分娩的作用機轉。 3. 剖腹生產時的術前評估及注意事項？ 4. 產婦剖腹生產時，全身及區域阻斷的優劣點。 5. 術後止痛的方式。 A 37-year-old pregnant woman with a gestational age of 42 weeks (G1P0) and regular uterine contraction, was admitted for induction. EBM 1. 產婦問：雖然減痛分娩可以減少產痛，但對於我的孩子會不會有影響？<11> 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 <21> b、 Procedures in performing the painless labor <21> c、 How is painless labor working to palliate the labor pain?<31> d、 Indications and contraindications<31> 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. 產婦問：剖腹生產做區域麻醉或全身麻醉比較好？ <51>. 2. Discussing anesthesia for the emergent cesarean section. Including: a、 pre-anesthesia evaluation for a pregnant woman. <61> 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.<61> 3. How to manage the postoperative pain<71> ------------------------------------------------------------------------- 明天麻醉大堂課後如果沒事就留下來討論一下吧 就先這樣 有問題可以再連絡我~

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