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2011 Anesthesiology
Problem based learning with Evidence Base
就照號碼分配大家要查的內容
血液那本考試會考，那我也每個人都印
星期四麻醉結束討論 沒來的也麻煩下課來一下
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學習重點：
1. 減痛分娩的使用時機。
2. 減痛分娩的作用機轉。
3. 剖腹生產時的術前評估及注意事項？
4. 產婦剖腹生產時，全身及區域阻斷的優劣點。
5. 術後止痛的方式。
A 37-year-old pregnant woman with a gestational age of 42 weeks (G1P0) and
regular uterine contraction, was admitted for induction.
EBM 1.
產婦問：雖然減痛分娩可以減少產痛，但對於我的孩子會不會有影響？ <4號>
She received painless labor to palliate her labor pain during induction after
admission.
1. Please discuss the procedures in painless labor. Including:
a、 Necessary evaluation before this procedures <14號>
b、 Procedures in performing the painless labor <14號>
c、 How is painless labor working to palliate the labor pain?<24號>
d、 Indications and contraindications<24號>
However, 4 hours after induction, moderate to severe bradycardia (below 80
BPM) with loss of beat-to-beat variability was noted on the fetal heart beat
monitor, and emergent cesarean section was planned under impression of fetal
distress.
EBM2.
產婦問：剖腹生產做區域麻醉或全身麻醉比較好？ <34號>.
2. Discussing anesthesia for the emergent cesarean section. Including:
a、 pre-anesthesia evaluation for a pregnant woman. <44號>
b、 Which anesthesia method (general anesthesia with endotracheal
intubations, spinal anesthesia and epidural anesthesia) you will choose for
the patient's cesarean section? Please discuss the advantages and
disadvantages of each method.<54號>
3. How to manage the postoperative pain<64號>
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