Video: Koj puas tuaj yeem tshem tawm remifentanil?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov ntaub ntawv UK qhia tias remifentanil tej zaum yuav muab raws li ib tug bolus 0.5-1.0 µg kg−1 min−1 tsis pub tsawg tshaj 30 s thaum lub sijhawm ua kom loog. A bolus ntawm remifentanil tsis pom zoo nyob rau hauv cov neeg mob ua pa anesthetized spontaneously lossis hauv cov neeg mob sedated ICU.
Kuj paub, koj npaj npaj tshuaj remifentanil li cas?
Rau manually tswj Infusion Remifentanil tuaj yeem diluted mus rau qhov ntau ntawm 20 txog 250 micrograms/ml (50 micrograms/ml yog qhov kev pom zoo rau cov neeg laus thiab 20 txog 25 micrograms/ml rau cov menyuam yaus hnub nyoog 1 xyoos thiab tshaj saud). Rau TCI qhov kev pom zoo dilution ntawm Remifentanil yog 20 mus rau 50 micrograms / ml.
Tom qab ntawd, lo lus nug yog, puas yog remifentanil sedative? Remifentanil yog tus ntshiab µ-opioid receptor agonist. Tshaj tawm thaum ntxov xyoo 1990, nws qhov pib sai thiab offset ua ke nrog nws cov kev sib koom ua ke nrog lwm cov tshuaj loog ua rau nws yog qhov kev xaiv zoo tshaj plaws rau kev siv tshuaj loog thiab nco qab. sedation.
Nyob rau hauv no txoj kev, dab tsi yog ib tug remifentanil infusion?
Remifentanil tuaj yeem tswj hwm ntawm ib qho infusion tus nqi ntawm 0.5 mus rau 1 microgram / kg / min, nrog lossis tsis muaj kev txhaj tshuaj thawj zaug ntawm 1 microgram / kg muab tsis pub tsawg dua 30 vib nas this. Hauv kev teb rau kev tso tshuaj loog me me, kev txhaj tshuaj qeeb qeeb ntxiv tuaj yeem ua tau txhua txhua 2 txog 5 feeb.
Koj rov tsim kho remifentanil li cas?
Rau rov tsim dua tov, ntxiv 1 mL ntawm diluent ib mg ntawm remifentanil . Co zoo kom yaj. Thaum twg rov tsim dua tshiab Raws li kev qhia, cov tshuaj muaj kwv yees li 1 mg ntawm remifentanil kev ua haujlwm rau 1 ml.
Pom zoo:
Koj puas tuaj yeem them nqi rau kev tshem tawm pov tseg?
Tshem tawm cam khwb cia. Raws li AMA CPT phau ntawv qhia, kuv pom cov lej nyob hauv Kev Tshem Tawm thiab Kho (CPT 29700-29799) muaj cov ntawv sau tseg hais tias, 'Cov lej rau kev tshem tawm pov tseg yuav tsum ua haujlwm nkaus xwb rau cov neeg thov pov tseg'. -Yog hais tias daim ntawv pov thawj thawj zaug tau thov ntawm peb lub tsev kho mob peb yuav tsum tsis txhob them nqi rau kev tshem tawm
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