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המדריך הקליני לניהול הרדמה

Feb 05, 2016

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mayasn1

2009
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  • 3

    W

    . . . . . . . . . . . . . . . . . . . . . . . . . 5

    1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

    2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

    4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

    . . . . . . . . . . . . . . . . . . . . . . . . . 8

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

    . - (UCAP) . . . . . . . . . . . . . . . . . . . . . . . . . . 31

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

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    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

    1. (noitcudni ecneuqes dipar) . . . . . . . 91

    2. . . . . . . . . . . . . . . . . . . . . . . 02

    3. . . . . . . . . . . . . . . . . . 32

    4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

    5. . . . . . . . . . . . . . . . . . . . . . . . . . . 62

    6. - (tnets) . . . . . . . . . . . . . 92

    . . . . . . . . . . . . . . . . . . . . . . . . 03

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    2.1 (O2N)

    3.1 ( - )

    4.1 (rezylana negyxO)

    5.1

    6.1

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    8.1 retemixo esluP

    9.1 ...

    01.1

    11.1 (gab gnitaflni-fles)

    :

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    2. " "* :

    1.2

    2.2 (rotalumits evren)

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    8.1 ()

    9.1 SIB, ( - )

  • 21

    01.1 :

    1.01.1 (tnangilam aimrehtrepyh)

    2.01.1

    3.01.1

    4.01.1

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    (, ) :

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  • 31

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  • 41

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    .1 TSET NELLA

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  • 61

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  • 81

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    thgilhcarT

  • 22

    3 ( ) stelytS

    2 eiguob citsale-muG ( )

    specrof lligaM

    2 -3 8

    ebut laegnyralorciM 4, 5, 6

    (3 ) sksam ypocsodnE, MBV ( BOF -)

    (3 ) -BOF , ,

    2 (ledeuG)

    3 hcsR

    / syawria cittolgartxE /cittolgarpuS

    cissalc AML

    AML-laesorP

    AML-hcartsaF

    ebutibmoC 2

    (ymotodioryhtocirC)

    -noitabutni edargorteR

    rekcolb laihcnorB (tdnrA )

  • 32

    .3

    1. ( ) / (

    ) .

    2. / /.

    3. 42 / .

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    1. /

    Z 01 /.

    Z , .

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  • 42

    Z .

    Z 4 .

    . .

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    Z -4-2 .

    3. (HWML)

    Z -X , -X .

    Z -HWML -42 ().

    Z -1 "/" -21 .

    Z 42 .

    Z / -HWML .

    4.

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    TP -RNI IIV II, XI -X.

    Z , -RNI -5.1.

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  • 52

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    - .

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    : " " ' 19/46 19/7/1.

  • 62

    .5

    (AIMREHTREPYH TNANGILAM-HM) . . .

    -HM REGGIRT.

    . (ENILOHCLYNICCUS). ()

    (GNIREGGIRT)

    . . O2N

    . -.

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    .

    aidracyhcaT sngis lacinilCaibracrepyH )ylsuoenatnops gnihtaerb nehw( noitalitnev etunim desaercni yldekraM ytidigir elcsuM gnilttom nikS eniru deroloc-aloC noitalugaoc ralucsavartni detanimessiD aimrehtrepyH

    yrotarobaL sgnidnfi

    2OCap desaercni & 2OC ladit-dne desaercnI )sisodica yrotaripser dna cilobatem( Hp desaerceD 2Oap desaerceD aimelakrepyH KC desaercnI eniru ro doolb ni nibolgoyM stset noitalugaoc lamronbA level etatcal amsalp desaercnI

  • 27

    .

    : MH Hypoventilation Sepsis Hypoxic encephalopathy Meningitis Intracranial hemorrhage Brain injury Thyrotoxicosis Pheochromocytoma Neuroleptic malignant syndrome Serotonin syndrome Contrast-induced neurotoxicity Anticholinergic syndrome Extrapyramidal syndrome Toxicity: cocaine, amphetamine, sympathomimetic, salicylate Drug/alcohol withdrawal Lethal catatonia Heatstroke Iatrogenic overheating Absorption of CO2 during laparoscopy Faulty temperature probe

    :

    succinylcholine-

    100%

    dantrolene

  • 82

    enelortnad (02 " -06 " )

    5.2 "/"

    -2OC ( -01 "/" enelortnad)

    ,

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    : enelortnad 1 "/" 6 63 , 6 , , ,

    . -2 "/"/.

    .

  • 92

    .6 - (tnets) "

    lergodipolC+niripsA

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    lergodipolC

    21

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    lergodipolC-

    lergodipolC-

    , .niripsA, lergodipolC

    ?

    lergodipolC

    ?

    ?S.E.D?S.M.B

    ?S.E.D

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  • 03

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    .3.1. ( ) .

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  • 23

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    87/52187.21.91

    48.33148.21.3.

    . 09/8409.5.1 19/4619.7.1 29/8329.7.62 59.11.72 39.11.72 79.5279.4.31 99/9199.4.21 1002 2002/45002002.01.72