2018版美国麻醉医师协会适度镇静和镇痛指南解读

2019-01-30 临床外科杂志.2019,27(1):24-28.

为了更好地帮助临床医生根据临床工作需要对病人进行正确的治疗,《Anesthesiology》发表2018 年美国麻醉医师协会( American Society of Anesthesiologists,ASA) 适度镇静和镇痛指南。指南根据医疗知识、临床技术及医疗实践等医学最新进展,对2002 版指南进行了修改。新指南突出以下内容: 第一,特别强调适度镇静。不再强调中、深度镇静。对从业人员的资质

中文标题:

2018版美国麻醉医师协会适度镇静和镇痛指南解读

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发布日期:

2019-01-30

简要介绍:

为了更好地帮助临床医生根据临床工作需要对病人进行正确的治疗,《Anesthesiology》发表2018 年美国麻醉医师协会( American Society of Anesthesiologists,ASA) 适度镇静和镇痛指南。指南根据医疗知识、临床技术及医疗实践等医学最新进展,对2002 版指南进行了修改。新指南突出以下内容: 第一,特别强调适度镇静。不再强调中、深度镇静。对从业人员的资质、培训等不再要求。第二,任何专业医疗人员可以在任何场合对病人进行适度镇静处理。另外,新指南还包括: 用药前评估和准备; 在观察病人及氧饱和度的基础上需要持续监测二氧化碳来评估病人的呼吸功能; 要求从业人员具备识别和处理呼吸道并发症的能力; 非全身麻醉时推荐镇痛镇静药如苯二氮䓬类和右美托咪定;全身麻醉时推荐镇痛镇静药如丙泊酚、氯胺酮和依托咪酯; 恢复期管理; 制订并实施安全操作流程。我们将对以上内容进行详细解读。

作者: 华中科技大学同济医学院附属同济医院麻醉科 赵以林 罗爱林

拓展指南:镇痛相关指南:

相关资料下载:
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2018版美国麻醉医师协会适度镇静和镇痛指南解读
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  1. [GetPortalCommentsPageByObjectIdResponse(id=2143778, encodeId=dca42143e789c, content=如何下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a7e1299139, createdName=daxiong540, createdTime=Mon Jun 19 23:44:49 CST 2023, time=2023-06-19, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186443, encodeId=d3af118644398, content=很及时, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a4a1793173, createdName=ms5089051206679132, createdTime=Thu Jan 20 14:17:52 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054388, encodeId=4b5c10543886d, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a7f5222046, createdName=14780b4cm80暂无昵称, createdTime=Fri Sep 24 09:21:27 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892037, encodeId=1d3b89203e1b, content=非常需要镇静镇痛指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:25:10 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892036, encodeId=c544892036b0, content=需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:24:53 CST 2020, time=2020-10-14, status=1, ipAttribution=)]
    2023-06-19 daxiong540 来自广东省

    如何下载

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2143778, encodeId=dca42143e789c, content=如何下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a7e1299139, createdName=daxiong540, createdTime=Mon Jun 19 23:44:49 CST 2023, time=2023-06-19, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186443, encodeId=d3af118644398, content=很及时, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a4a1793173, createdName=ms5089051206679132, createdTime=Thu Jan 20 14:17:52 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054388, encodeId=4b5c10543886d, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a7f5222046, createdName=14780b4cm80暂无昵称, createdTime=Fri Sep 24 09:21:27 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892037, encodeId=1d3b89203e1b, content=非常需要镇静镇痛指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:25:10 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892036, encodeId=c544892036b0, content=需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:24:53 CST 2020, time=2020-10-14, status=1, ipAttribution=)]
    2022-01-20 ms5089051206679132

    很及时

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2143778, encodeId=dca42143e789c, content=如何下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a7e1299139, createdName=daxiong540, createdTime=Mon Jun 19 23:44:49 CST 2023, time=2023-06-19, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186443, encodeId=d3af118644398, content=很及时, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a4a1793173, createdName=ms5089051206679132, createdTime=Thu Jan 20 14:17:52 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054388, encodeId=4b5c10543886d, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a7f5222046, createdName=14780b4cm80暂无昵称, createdTime=Fri Sep 24 09:21:27 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892037, encodeId=1d3b89203e1b, content=非常需要镇静镇痛指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:25:10 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892036, encodeId=c544892036b0, content=需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:24:53 CST 2020, time=2020-10-14, status=1, ipAttribution=)]
    2021-09-24 14780b4cm80暂无昵称

    非常实用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2143778, encodeId=dca42143e789c, content=如何下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a7e1299139, createdName=daxiong540, createdTime=Mon Jun 19 23:44:49 CST 2023, time=2023-06-19, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186443, encodeId=d3af118644398, content=很及时, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a4a1793173, createdName=ms5089051206679132, createdTime=Thu Jan 20 14:17:52 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054388, encodeId=4b5c10543886d, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a7f5222046, createdName=14780b4cm80暂无昵称, createdTime=Fri Sep 24 09:21:27 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892037, encodeId=1d3b89203e1b, content=非常需要镇静镇痛指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:25:10 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892036, encodeId=c544892036b0, content=需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:24:53 CST 2020, time=2020-10-14, status=1, ipAttribution=)]
    2020-10-14 雨臻臻

    非常需要镇静镇痛指南

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2143778, encodeId=dca42143e789c, content=如何下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a7e1299139, createdName=daxiong540, createdTime=Mon Jun 19 23:44:49 CST 2023, time=2023-06-19, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186443, encodeId=d3af118644398, content=很及时, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6a4a1793173, createdName=ms5089051206679132, createdTime=Thu Jan 20 14:17:52 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054388, encodeId=4b5c10543886d, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a7f5222046, createdName=14780b4cm80暂无昵称, createdTime=Fri Sep 24 09:21:27 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892037, encodeId=1d3b89203e1b, content=非常需要镇静镇痛指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:25:10 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892036, encodeId=c544892036b0, content=需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEJfENuZPdoiaZYkEsdnqqJrzDDnPfYAK5Y7tr1o1bmVh21U2pS8AwZjicKBc5hLPpC77LQZWvtFfGrg/132, createdBy=9f025242170, createdName=雨臻臻, createdTime=Wed Oct 14 15:24:53 CST 2020, time=2020-10-14, status=1, ipAttribution=)]
    2020-10-14 雨臻臻

    需要

    0