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THUC M 1.

Tiu chun thuc m tt


Khi pht nhanh, m diu, phc hi nhanh Nhanh chng t c m su

Khong cch an ton rng


Gin c thch hp cho phu thut

Liu s dng khng gy c

THUC M 2.Cc giai on gy m


Gim au: c ch trung khu trn v no:p ng kch thch au gim Kch thch: c ch v no, lm mt s c ch v no i vi trung tm vn ng di v: bnh nhn trng thi kch ng, hung hng, nn ma

THUC M 2.Cc giai on gy m


Phu thut: c ch di v v tu sng, gy mt thc, mt phn x: h hp iu, ngng c ng mt, h hp nng dn

Lit hnh tu: c ch trung khu h hp v vn


mch hnh tu, lit h hp hon ton:ngng h hp,

ngng tim

THUC M
3.C ch tc ng
Gim au: do t bo sng lng tu sng rt nhy cm vi thuc m lm gim dn truyn cm gic theo ng tu i th

Kch thch: c ch nron c ch, kch thch nron


kch thch

THUC M
3. C ch tc ng
Phu thut: suy nhc cu trc li truyn ln ,c ch phn x tu, gy gin c Lit hnh tu: liu c tc ng ln trung khu h hp v vn mch hnh tu

THUC M- 4. Dc ng hc
Thuc m vo phi, sang mu, n no gy tc dng H s mu/ kh cng ln cm ng v phc hi chm H s du/kh cng cao, tch t nhiu trong m m nn hi phc chm Thuc m h hp o thi qua phi, Thuc m tnh mch o thi qua nc tiu

THUC M H HP
1.Halothan: c tnh trn gan,t s dng 2.Enfluran: s dng ph bin thay th halothan 3.Nitrous oxid: gim au trong nh rng 4.Isofluran: t dc tnh, s dng nhiu, t tin 5.Sevofluran 6.Desfluran

THUC M H HP - 1.Halothan
u im
Khng gy kch, mi d chu Hot tnh gy m tng i cao Cm ng nhanh, m du, phc hi nhanh c ch tit dch v, nc bt, dch ph qun gy gin ph qun

THUC M H HP - 1.Halothan
Nhc im
Gim au, gin c km Khong cch an ton hp Lon nhp tim, h huyt p c gan khi dng lp li Ngy ngt, kh chu khi tnh

THUC M H HP 2.Enfluran u im
Cm ng nhanh, m du, phc hi nhanh Chuyn ho qua gan km t c gan t gy lon nhp tim, bun nn, nn Gin c phu thut

THUC M H HP 2.Enfluran Nhc im


Gim chc nng tim mch, h hp C nguy c gy co git ging ng kinh

THUC M H HP 3.Nitrous oxid


u im
Cm ng nhanh, m du, phc hi nhanh Khng gy kch ng, gim au mnh t c tnh

THUC M H HP 3.Nitrous oxid Nhc im


Hot tnh gy m yu, khng gy gin c
Gy bun nn, i ma hu phu

C nguy c suy tu khi s dng lu di

THUC M H HP 4.Isofluran u im
Gin c phu thut Cm ng nhanh, m du, phc hi nhanh Liu gy m thp, n nh hp tim t c gan thn

THUC M H HP 4.Isofluran Nhc im


Gy h huyt p c ch h hp, tng dch ph qun,gy phn x ho, co tht thanh qun

THUC M H HP 5.Sevofluran u im
Gin c tt
Cm ng nhanh, m du

Khng hng cay, khng kch thch h hp

THUC M H HP 5.Sevofluran Nhc im


Gy h huyt p, lon nhp c ch h hp

THUC M H HP 6.Desfluran
u im
Tc dng mnh Liu thp, phc hi nhanh

THUC M H HP 6.Desfluran
Nhc im
Rt hng cay, kch thch kh qun
Gy h huyt p, lon nhp

c ch h hp
Rt bay hi Khng dng cho bnh nhn st cao c tnh hoc tng p sut ni s

THUC M TNH MCH 1. Khi pht nhanh u


Rt tan trong lipid nn qua hng ru mu no nhanh Phn phi nhanh n m c lu lng mu cao (no, tim, gan, thn)

2. tc dng ngn hn
Chuyn ho chm nhng do ti phn phi n m c lu lng mu thp ( m, c vn) nn nng trong no gim nhanh

THUC M TNH MCH 3. Lu lng tim


Gim ( suy tim sung huyt, ngi gi) mu n no tng nn gin liu thuc m Tng nn tng liu thuc m

4.Thi gian bn thi


Thi gian bn thi di v vy nu tim tnh mch nhiu ln, gy tch t trong c vn, m m nn bnh nhn tnh chm v vy cn duy tr m bng thuc c thi gian bn thi ngn

THUC M TNH MCH


1.Barbiturat: Natrithiobental, Methohexital, Thiamylat 2.Benzodiazepin:Diazepam,Lorazepam, midazolam 3.Etomidat 4.Opioid: Fentanyl, Sulfentanyl, Alfentanyl 5.Ketamin 6.Propofol

THUC M TNH MCH- 1. Barbiturat


Natrithiopental,Methohexital, Thiamylat

u im
Tc ng mnh, nhanh,ngn hn Khng gy tit dch, t i ma Lm gim chuyn ho v s dng oxy no nn khng lm tng p lc ni s dng c cho bnh

nhn ph no

THUC M TNH MCH- 1.Barbiturat


Natrithiopental,Methohexital, Thiamylat

Nhc im
Chuyn ho chm, tch t nhiu trong m m ko di tc dng khi dng lp li

Khng gim au, gin c km


Khong cch an ton hp

THUC M TNH MCH- 2. Benzodiazepin


Diazepam, lorazepan,midazolam
Tc dng trn thn kinh tu liu: an thn, chng co git, gin c, m c ch nh tun hon, h hp nn dng c cho ngi suy tim Khng gim au, gin c km

THUC M TNH MCH- 3.Etomidat


Tc dng gy m ngn, khng gim au Thng dng phu thut mt( gim p lc nhn cu) Phu thut thn kinh ( gim p lc ni s) Phu thut tim( t tc ng ln tim) Gy co git, bun nn, tng tit nc bt

THUC M TNH MCH- 4. Opioid


Fentanyl, Sulfentanyl,alfentanyl
Phi hp thuc khc gim au mong mun Phu thut tim( t tc ng ln tim) Phi hp droperidol dng trong cc phu thut nh nh ni si: an ton thch hp cho ngi cao tui, bnh nng

THUC M TNH MCH- 5. Ketamin


Thuc m hon ton( va gy m, va gim au Khi tnh y hay ku la, o gic Tng nhp tim, tng huyt p,tng lu lng tim Tng lu lng no v tng p lc ni s Oi ma, m hi, ban , run Thng dng tac dng gim au (liu thp hn)

THUC M TNH MCH 6.Propofol


Khi m nhanh, phc hi nhanh, khng c d m kh chu H huyt p (30%), t nh hng ln tim Khng tn thng gan thn

THUC TiN M
Lm gim lo lng, bn chn, khi m d dng Lm tng tc dng thuc m khng hon ton Lm gim liu thuc m Lm gim tc dng ph

THUC TiN M
Thuc gim au Thuc an thn: an thn,khng histamin Khng cholinergic: lm gim tit

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