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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
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 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 5.Sevofluran u im
Gin c tt
Cm ng nhanh, m du
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
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
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
Nhc im
Chuyn ho chm, tch t nhiu trong m m ko di tc dng khi dng lp li
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