成人心脏麻醉计划术前备药:阿托品0.5mg/5ml(0.1mg/ml)去甲肾上腺素10mg/100ml(0.1mg/ml)肾上腺素1mg/1 0ml(0.1mg/ml)利多卡因100mg/5ml(20mg/ml)硝酸甘油5mg/20ml麻醉诱导:咪达唑仑0.05-0.1m g/kgiv(10mg/10ml)依托咪酯0.1-0.3mg/kgiv(20mg/10ml)顺式阿曲库铵0.1-0.2 mg/kgiv(20mg/10ml)舒芬太尼0.5-1ug/kgiv(50ug/10ml)利多卡因30-50mgiv (100mg/5ml)瑞芬太尼0.5-1ug/kgiv(100ug/5ml)麻醉维持:右美托咪定2mg/50ml(4ug /ml)丙泊酚600mg/60ml(10mg/ml)瑞芬太尼1mg/50ml(20ug/ml)舒芬200ug+顺阿40mg/50m l七氟烷1-3%血管活性药:硝酸甘油kg×0.3mg/50ml多巴胺kgX3mg/50ml去甲肾上腺素2mg/50ml(40u g/ml)高资耗材准备:三腔中心静脉穿刺包双腔压力传感器 |
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