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Dołączył: 21 Lut 2011
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PostWysłany: Wto 6:59, 22 Mar 2011  

Epidural anesthesia in childbirth in the application of painless


Will foster the opioid analgesic effect. Clonidine few side effects. No respiratory suppression behavior of copper and mental changes. Can lower blood pressure, caused by coronary insufficiency, decreased myocardial contractility. Slow tL, rate. Thus crown tL, heart disease and with caution in patients, but hypertension or pregnancy-induced hypertension syndrome favorable. The drug can cause blood vessels straying too strong uterine contractions, adrenergic inhibitors can be used against. Antihypertensive effects of clonidine can be reversed naloxone. Domestic labor analgesia with clonidine has not been reported because of its role in a long time, analgesic effects are few side effects, promising labor analgesia. * 3.1 38.3 method of clinical application and observation of epidural anesthesia with a single tube and double tube method. Catheter in the epidural space,[link widoczny dla zalogowanych], from the tube once or several times repeated injection of the drug is generally extended 3-5 segments. Due to labor long hours, and more need to repeat medication, usually in the cervix so 2-3 start to the whole cervix, which require medication 2-3 times,[link widoczny dla zalogowanych], up to 4 times to complete. Because there are certain side effects anesthetics. The current study can achieve analgesia. And reducing side effects. Drug combination used for the public house. Bupivacaine with lidocaine,[link widoczny dla zalogowanych], bupivacaine plus fentanyl,[link widoczny dla zalogowanych], clonidine tramadol more so. Small doses of bupivacaine and fentanyl is one of the most studied. These methods have less repeated administration, long duration of clonidine, a drug is expected to achieve clinical effect, pending further verification. 3.2 Mongolian labor analgesia epidural anesthesia avoid maternal disease ① who refuse epidural anesthesia. ② puncture of local or systemic infection. ③ the existence of any cause of maternal coagulopathy disease. ④ do not have the mother and child care, anesthetic accident rescue equipment hospital. ⑤ patients using anticoagulants. ⑥ placental abruption, placenta previa, fetal distress and so on. 3.3 The need for close monitoring of narcotic analgesic delivery, there should be full-time anesthesiologist and fetal monitoring equipment. 3.3.1 standards of obstetric analgesia ... I generally divided into four levels (excellent) completely painless, maternal quiet Ⅱ level (good) and basic elimination of labor pain, only mild swelling sense of contraction when the basic quiet grade Ⅲ (middle), eased the pain of childbirth, not quiet Ⅳ (poor) to reduce labor pain, no, not quiet. 3.3.2 observe the contents of analgesia, blood pressure, fetal tL, rate, length of labor, delivery mode, neonatal score and postpartum bleeding. 3.4 analgesia epidural anesthesia Notes the amount of drug safety, as far as possible to achieve maximum effect with minimum dose. ④ first artificial rupture of membranes after successful intubation. see no clear amniotic fluid plus drug polluters. ⑤ guidance maternal force, necessary, to add stare tide Xi 2 F Xiao-Ling Hu: epidural anesthesia in childbirth in the application of pain (on the next page 36) the absorption of sugar, excitement central, basal metabolic rate increase, a diuretic to reduce edema and 0 cases of oral thyroid hormone 2,3-sick children, the heart rate , body temperature returned to normal, hard swelling subsided in time and not previously compared with children of thyroid disease was significantly shorter orderly. I believe that newborns with moderate to severe hard and swollen. particularly hard in preterm children with severe swelling occurs, short-term hormone therapy is supplemented with desirable for improving the success rate of severe scleroderma have a positive effect. but in the application of thyroxine during the hot card and should ensure that the supply of glucose to avoid accelerating the depletion of brown fat and negative ammonia balance. hormone tablets per tablet 40mg, I press the full-term children 10mg/El, premature children 8mg/El administration, came in the treatment of tremor, fever, sweating,[link widoczny dla zalogowanych], shortness of breath, tachycardia and other side effects.


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