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1
題名:CARDIOVASCULAR COLLAPSE AFTER GENERAL ANESTHETIC INDUCTION COMBINED WITH ESMOLOL     (12點)
在全身麻醉誘導時併用Esmolol發生心血管塌陷之病例報告
著者:Yu-Ling Yeh(葉昱伶) ;Yi Chang(張怡) ;Wen-Wei Liao(廖文瑋) ;Hsiang -Chien Tseng(曾祥建) ;Kuo-Ching Wang(王國清)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:全身麻醉 ; 乙型腎上腺素阻斷劑 ; 心跳停止 ; Genera Anesthesia ; Adrenergic β-antagonists ; Heart arrest
刊名:Taiwan Critical Care Medicine
卷期:11卷4期(2010)
頁碼:261-266
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

emolol常用於麻醉的誘導中,以減少置放氣管內管時所引起的心臟血管反應。由於esmolol的半衰期相當短,它被認?是一個相對安全的藥物。在此我們報告一個四十九歲患有糖尿病並將接受玻璃體切除手術的女性病人,她在合併使用esmolol的全身麻醉誘導之後,突然發生嚴重的休克與心跳停止。即使一再給予包括腎上腺素在內的升壓藥物,仍無法避免休克的發生。此病忠在經過大約4四十分鐘的急救之後,才恢復生命徵象。事後的各種檢查並無發現心肌槌塞或過敏性休克等病因。在此報告中,我們探討了休克可能的發生原因,並回顧esmolol的相關毒性反應及其處理方法。
Esmolol chloride was commonly used in anesthetic induction to blunt cardiovascular responses of tracheal intubation. Because of its short half-life, esmolol was considered as a relative safe agent in anesthetic practice. Here, we present a 49-year-old diabetic female patient scheduled for vitrectomy. She suffered from a cardiovascular collapse after general anesthetic induction combined with esmolol. The bradycardia and shock cannot be corrected with repeated doses of adrenergic agents including epinephrine. Cardiopulmonary resuscitation persisted for forty minutes to regain the vital sign. The followed examinations didn't reveal definite pathology such as acute myocardial infarction or anaphylaxis. In this report, we discussed the possible causes of shock and reviewed the esmolol-related cardiovascular collapse and its treatment.


    

本卷期目次
Taiwan Critical Care Medicine 11卷4期 (2010)
改善急性腦中風病人血栓溶解治療評估效率之經驗及探討/ 顏正昌盧玉強萬樹人林清煌張運德羅崇誠陳立偉高志翔
THE ACUTE-PHASE HEART RATE VARIABILITY IN ACUTE CORONARY SYNDROME- THE IMPLICATIONS OF DIFFERENT ANALYSES/ Ho-Tsung HsinChi-Yu YangJiann-Shing ShiehPi-Chi LinLiang-Yu Chen
腦死病人生命末期照護/ 張麟黃勝堅蕭勝煌
CARDIOVASCULAR COLLAPSE AFTER GENERAL ANESTHETIC INDUCTION COMBINED WITH ESMOLOL/ Yu-Ling YehYi ChangWen-Wei LiaoHsiang -Chien TsengKuo-Ching Wang
PULMONARY ALVEOLAR PROTEINOSIS TREATED WITH WHOLE LUNG LAVAGE IN INTENSIVE CARE UNIT/ Yao-Chang WangJau-Yeong LuWein-Shung KuoMing-Teng ChungPen-Fang Yeh
NOSOCOMIAL URINARY TRACT INFECTION RELATED RETROPERITONEAL ABSCESS WITH INTERNAL COLONIC FISTULA/ Shih-Hung TsaiWei-Chou ChangChin-Wang HsuShi-Jye ChuWann-Cherng Perng
LIDOCAINE-ASSOCIATED SEVERE DYSPNEAAND PULMONARY INFILTRATES AFTER BRONCHOSCOPY: A CASE REPORT/ Kuan-Chun LinChi-Wen LaChia-An Chou
 
   
 
   

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