Video: Remifentanil siv rau dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Remifentanil yog tshuaj opioid. Ib qho opioid qee zaum hu ua narcotic. Remifentanil yog siv kho lossis tiv thaiv qhov mob thaum lub sijhawm thiab tom qab phais lossis lwm yam kev kho mob. Remifentanil tej zaum kuj yog siv rau lub hom phiaj tsis teev nyob hauv phau ntawv qhia tshuaj no.
Ib yam li ib tus tuaj yeem nug, dab tsi yog qhov tso tshuaj remifentanil?
Remifentanil tuaj yeem tswj hwm ntawm ib qho Txoj kev lis ntshav 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. Nyob rau hauv teb rau lub teeb anaesthesia, ntxiv kev txhaj tshuaj qeeb bolus yuav raug muab tshuaj txhua txhua 2 mus rau 5 feeb.
Ib yam li ntawd, puas yog remifentanil yog sedative? Remifentanil yog ib tug 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.
Kuj paub yog, koj yuav sib tov remifentanil li cas?
Rau kev tswj tus kheej infusion Remifentanil tuaj yeem diluted mus rau qhov siab ntawm 20 mus rau 250 micrograms / ml (50 micrograms / ml yog qhov pom zoo rau cov neeg laus thiab 20 mus rau 25 micrograms / ml rau cov neeg mob menyuam yaus hnub nyoog 1 xyoos thiab tshaj). Rau TCI pom zoo dilution ntawm Remifentanil yog 20 txog 50 micrograms /ml.
Koj puas tuaj yeem bolus remifentanil?
Lub UK cov ntaub ntawv qhia tias remifentanil tej zaum yuav raug tswj raws li a bolus ntawm 0.5-1.0 µg kg−1 min−1 tsis pub tsawg tshaj 30 s thaum lub sij hawm induction ntawm tshuaj loog. A bolus ntawm remifentanil tsis pom zoo ua pa ua pa rau cov neeg mob tsis hnov mob lossis nyob hauv cov neeg mob ICU.
Pom zoo:
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