得普利麻靶控输注技术

得普利麻靶控输注技术得普利麻靶控输注技术 TCI的定义得普利麻靶控输注技术为什么使用 TCI得普利麻靶控输注技术TCI的优点实践方面得普利麻靶控输注技术TCI的优点理论方面得普利麻靶控输注技术什么是“ Diprifusor ”TCI得普利麻靶控输注技术 Diprifusor/TCI都包括什么?得普利麻靶控输注技术得普利麻预充注射器( PFS )得普利麻靶控输注技术得普利麻预充注射器( PFS )得普利麻靶控输注技术 PFS的识别标记得普利麻靶控输注技术* University of GlasgowDiprifusor TCI 软件得普利麻靶控输注技术* Contact manufacturer for details and availability装载Diprifusor的输注泵得普利麻靶控输注技术Graseby 3500泵泵得普利麻靶控输注技术ALARIS IVAC TIVA TCI泵泵得普利麻靶控输注技术信息键( 效应部位浓度、达到靶浓度的时间 )微调微调输入得普利麻的总量TCI 模式提示TCI 模式提示靶血药浓度计算的血药浓度液晶显示Consult Instruction Manual for details of display and operation Graseby 3500 的面板设置得普利麻靶控输注技术Consult Directions for Use for details of display and operation调节键计算浓度的趋势图效应部位浓度得普利麻输注量泵工作状态计算的血药浓度靶血药浓度预计的清醒时间 ALARIS IVAC TIVA TCI 的面板显示得普利麻靶控输注技术05010012000510152025303546802时间( minutes )输注速率(ml/h)血药浓度(g/ml)计算的血药浓度(泵自动计算并显示靶血药浓度麻醉医生设置43215得普利麻靶控输注技术Consult pump manufacturer for detailed specification商业化的TCI泵的一般特征得普利麻靶控输注技术TCI的意义得普利麻靶控输注技术Consult full, local prescribing information靶浓度与诱导时间源于 Diprifusor TCI 的临床验证结果得普利麻靶控输注技术诱导期的初始靶浓度25%50%75%100%靶血药浓度n = 20n = 20n = 2040%75%90%3 g/ml4 g/ml5 g/ml成功诱导的百分比Chaudhri S et al. 1992Failure of induction (patients not induced within 3 minutesof achieving the target concentration): target increased to 6 g/ml得普利麻靶控输注技术 Diprifusor TCI 的诱导时间20406080Diprifusor TCIn = 79人工控制输注人工控制输注n = 805575(SD 10.6)(SD 18.8)p 0.01平均诱导时间 (seconds)Russell D et al. 1995The initial infusion rate was higher with Diprifusor TCI (1,200 ml/h) than with manual control(600ml/h). The mean dose of Diprivan administered at the time of insertion of the laryngeal maskair way was significantly higher (p 0.05) with Diprifusor TCI (201 mg) than with manual control (160 mg)UK 的研究， ASA I or II 级病人得普利麻靶控输注技术 Diprifusor TCI 的诱导质量Hutton P et al. 1995The initial infusion rate was higher with Diprifusor TCI (1,200 ml/h) than with manual control(600 ml/h). The mean dose of Diprivan administered at the time of insertion of the laryngeal maskair way was significantly higher (p 55 years3.5 g/ml2.8 to 3.4 g/ml3.5 to 5.3 g/ml麻醉维持时的靶浓度得普利麻靶控输注技术 Diprifusor TCI 维持麻醉的质量Hutton P et al. 1995The initial infusion rate was higher with Diprifusor TCI (1,200 ml/h) than with manual control(600 ml/h). The mean dose of Diprivan administered at the time of insertion of the laryngeal maskair way was significantly higher (p 55岁心脏病人诱导期SBP(12-26%) DBP (16-28%)与手控组有可比性 SBP与DBP 和年青组无区别低血压合用阿片药物者更明显维持期通常变化不大在SBP的变化大于青年组通常变化不大 Diprifusor TCI 对血流动力学的影响得普利麻靶控输注技术优 点得普利麻靶控输注技术 Diprifusor TCI 的恢复得普利麻靶控输注技术n = 317Diprifusor TCI 的耐受性得普利麻靶控输注技术Diprifusor TCI 带来的好处