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asbryobvrz · Wysłany: Pon 20:42, 14 Mar 2011

Modern electroconvulsive therapy without guardianship

Nasal open 5 ~ 8L / min oxygen flow oxygen SPO improving rapidly. Guardianship cases in this group also found that obese 93 International Medicine & Health Guidance 13, 2007 Volume 21 (half-monthly) and a short neck and breathing in patients prone to hypoxemia extended recovery time, which may be mast epiglottis , after the fall prone on the tongue _. Therefore, in the treatment of these patients during and after the two shoulders with sand pillows asked, so that the head had stretched as far as to open the airway. For these patients should be carefully chosen MECT. 2.2 Function Monitoring the circulatory system: atropine,[link widoczny dla zalogowanych], propofol, and succinylcholine chloride on the circulatory system MECT have some influence. Therefore, continuous monitoring should the circulatory system, pay close attention to heart rate, heart rate and blood pressure changes. The group 3 patients seen in cases of rapid heart rate at 1604168 / min, after bolus propafenone after the heart rate returned to normal. 2 cases of sinus bradycardia, heart rate as low as 48 beats / min, returned to normal by atropine. The emergence of a transient bradycardia or tachycardia, MECT returned to normal after treatment. Blood pressure remained stable. 2.3 Central Nervous System Monitoring: MECT after the anesthetic drugs, the patient clearly has a process can observe the patient's consciousness, neural reflection custody. Patients responded to calls or orders that the patient be awake, awake before anesthesia patients often irritability, bed placement bed stalls, hand care, if necessary, protect the constraints. Pay attention to safety,[link widoczny dla zalogowanych], to prevent falling bed. 2.4 The monitoring of body temperature: The temperature after the treatment group of patients remained stable,[link widoczny dla zalogowanych], but the anesthetic drugs and muscle relaxants can cause blood vessels to dilate. It should keep warm to prevent cold. But not too thick to be patient with warm, it will affect the observed rate of the patients breathing rhythm and. Room temperature maintained at 18 ℃ 426 ℃. 2.5 Response monitoring: All the patients side effects occurred mainly time to return of spontaneous breathing, irritability, headache, short-term recent memory forgotten, upper body rash. Once the time to return of spontaneous breathing, inspired oxygen concentration must be increased as much as possible to open the airway, to keep them open, if necessary, injection of respiratory stimulants, until restoration of spontaneous breathing. The patients presented with respiratory recovery extended, under the chin with both hands raised in patients with possible ways to open airway, and inhalation of high concentrations of oxygen soon after the symptoms improved. If patients had more irritability, give oxygen inhalation. Symptoms improved significantly. Memory decline is a recent thing forgotten and could not find his bed, the nurse can be a headache and memory to the patient forgetting to remind the white lines will be restored. And inform their beds. The patients were all MECT memory decline 1 week after the cessation of recovery. The rash go away soon after treatment MECT. 943 Results of monitoring cases in this group found that: MECT the greatest impact on the respiratory system, there were a recovery of spontaneous breathing extension of l6 cases, there were hypoxemia,[link widoczny dla zalogowanych], and transient hypoxemia have asked 126 patients, SP02 48% 490% . Hypoxemia were given there by the nose by the open-to 5 ~ 8L / min oxygen flow oxygen quickly return to normal. After the emergence of transient hypoxemia are breathing open the airway to maintain patency in the case of SPOz soon returned to normal. Severe sinus bradycardia in 2 cases, heart rate as low as 48 beats / min, the symptoms improved after atropine. Severe sinus tachycardia, heart rate 1,604,168 times / min in 3 cases, the use of heart rate returned to normal after propafenone. Blood pressure and body temperature remained stable. Main side effects after surgery are: extension of spontaneous breathing recovery time, irritability, headaches and short-term recent memory forgotten, upper body rash. Symptoms improved after symptomatic treatment. 4 Experience MECT treatment is the role of anesthetics and muscle relaxants, to enable the patient to sleep, muscle relaxation in the case of the treatment received, because patients stop breathing for a short, so the focus of care is to maintain airway, monitor oxygen saturation ,[link widoczny dla zalogowanych], close observation of respiratory rate, rhythm, amplitude. Meanwhile, the circulatory system and other monitoring functions. And make the appropriate care measures. So as long as adequate preoperative preparation, postoperative continuous monitoring, careful observation and timely measures can improve the safety of the treatment MECT ensure the quality of care.