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?????(Intravenous Anesthetics)
- ???(Sodium Thiopental) -> BARBITURATES
- ?????? ???(Benzodiazepines)
- ???(Ketamine)
- ????(Propofol)
- ??????(Etomidate)
?????(Inhalation Anesthetics)
- ????(Enflurane)
- ??????(Isoflurane)
- ?????(Desflurane)
- ?????(Sevoflurane)
?????(Local Anesthetics)
- ?????(Local Anesthetics)
- ????? ?????? ???
- ????? ?????? ???
- ?????? ?????? ???
?????(Muscle Relaxants)
- ?????(Succinylcholine)
- ?????(Pancuronium)
- ?????(Vecuronium)
- ??????(Atracurium)
- ??????(Pipecuronium)
- ?????(Rocuronium)????
1. BARBITURATES
1.1. ????
1) ???(controllability) :
(1) ??????? ?? ??? ?? ??? barbiturate? ????? ????? ???(???? ?? ??).
(2) ???? ;
???? ??? thiopental? ??, ?? ??? ?? ??? ???? ???? ??? ????? ??? ???? ?? ???? ??? ??? ???? ????. ???? ??? thiopental? ???(redistribution)? ????(biotransformation)? ??? ????.
(3) ??? ;
barbiturate? ??? ???? ???? ??(0.2 - 2.5%)
¢Ú ????? ???? ???? ??
¢Û ????? ???? ?? ??? ???? ? ??.
2) ???(pharmacokinetics)
(1) ???(redistribution)
?????(single injection) ?? ? ????? ?? ?, ??, ?? ??? ??
* lipid solubility? ???(ion? ?? ?? ??) ????(blood-brain barrier)? ?? ?? - ????? ????
* barbiturate? ????? ?? ????? ???? ? 50??? ????? ???? ?????? ? ?? ????? ??? ????? ???? ??? ? 1???
* ????? ??? ??? ??? ? 15? ?? ????. ??, ??, ?? ??? ??(lean tissue)
* 15-30??? ????? ??? ???. ????(fat tissue)?? ??
* ????? ??? ??? ??? ???? ????.????
¡¤ ??????? ??. ???? ? 3?, 1994
¡¤ http://nopain365.com/cl.html??
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???? ???? ??? ?? ??? ?? ?? ??? ??? ????? ??? ?? ??? ????? ?? ?????? ?? ???? ?? ?? ?? ??? 70% ?? ??? ???? ?? (???? ??? ? ?? ?? ???) ???? ?? ???, ????, ??, ?? ?? ??? ??? ?? ??? ??? ?? ??? ??? ???? ?? ??
?? ??? ??? ??? ???!
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1. ????, ??, ???, ????? <????> ¢Ù???? ??????? ????? ??? ?????? ??, ????, ???? ?? ???? ? ???? ????? ??? ??? ???? ????? ????, ????? ??. ??????(Inhalation anesthesia) ??? ???? ??(gas)??? ??.. -
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14???
I. Preanesthetic visit ??? ???? ??? ?? ??? ???? ??? ???? ?????, ??? history? ????? ???? ? ??? ?? ? ???? ?? ??? ???? ??? ??. ??? ??? ??? ??? ??? ????? ?? ???? ??, ?? ?? ??? ???? ??? ???? ?? ? ..
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?? ??? ????? EasyAI
¡°EasyAI ? ??? ?? ??? ???? ?? ? ????"
