關於 anesthesia risk ，我們在網路上蒐集到這些相關的討論、資訊與評價

手術前必知2468禁食原則❓｜佳霖醫師麻醉知識

有過手術經歷的人都知道術前要禁食。佳霖醫師記得，曾經有位客人竟然在術前太飢餓，以為吃一點點還好，就偷吃了兩口麻辣燙！在例行性確認是否「禁食8小時」後，當下就立即取消手術了🙅🏻‍♀️

𝑵𝑷𝑶 𝒊𝒔 𝒌𝒏𝒐𝒘𝒏 𝒂𝒔 𝒏𝒊𝒍 𝒑𝒆𝒓 𝒐𝒔 𝒐𝒓 𝒏𝒐𝒕𝒉𝒊𝒏𝒈 𝒃𝒚 𝒎𝒐𝒖𝒕𝒉, 𝒘𝒉𝒊𝒄𝒉 𝒎𝒆𝒂𝒏𝒔 𝒏𝒐 𝒆𝒂𝒕𝒊𝒏𝒈 𝒐𝒓 𝒅𝒓𝒊𝒏𝒌𝒊𝒏𝒈.

🤍麻醉常用小術語 NPO

醫護間常用「NPO」稱呼禁食，NPO來自於拉丁文的 𝑵𝒖𝒍𝒍𝒂或是𝑵𝒊𝒍 𝒑𝒆𝒓 𝒐𝒔的縮寫，也稱nothing by mouth，意思為「禁止經由口中攝入」，也就是禁食啦😆

🤍為什麼在開刀前連水都不能喝❓

開始禁食的主要理由，是為了避免病人在麻醉時發生「吸入性肺炎」的風險。

如病人在麻醉前吃過食物，麻醉後胃部括約肌放鬆之下，食物會逆流上來造成嗆到、嘔吐，這時如果嘔吐物進入氣管裡，除了可能會缺氧，甚至最嚴重會造成吸入性肺炎！

🤍嚴守「 2-4-6-8 rule 」禁食原則

依據美國麻醉醫學會訂定，「 2-4-6-8 rule」禁食原則，跟著佳霖醫師一起來複習～

「2小時」- 所有液體：水、茶、黑咖啡、無果肉果汁、碳酸飲料等
「4小時」- 母乳
「6小時」- 所有乳製：牛奶、含奶咖啡、配方奶等
「8小時」- 所有固體食物

🤍麻醉女醫小提醒

👩🏻‍⚕️禁食超過8小時，如果很餓，需諮詢麻醉專科醫師做應變處理，而不是自己偷吃東西喔！

👩🏻‍⚕️有規律服用藥物的慢性疾病患者，在手術前是否停藥，也需詢問您的麻醉專科醫師喔！

Reference: Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology March 2017, Vol. 126, 376–393.

✨李佳霖醫師 - 麻醉專科女醫師 / 醫美醫師

#我不是麻醉師
#更不是麻姐

▫️「麻醉大小事」報你知、「醫美療程」怎麼選，佳霖醫師一次解答，歡迎預約諮詢整形&指定麻醉！

#doctor #醫師 #麻醉女醫 #醫學美容 #醫美 #微整形 #微整 #麻醉 #drjennielee #李佳霖醫師 #麻醉專科醫師 #專科醫師執照 #診所 #麻醉大小事 #npo #fasting #禁食 #medical #anesthesia #propofol #anesthesiology #anesthesiologist #anesthesialife

今天為大家介紹作品No.5的主角 : 黑馬哥

artist : ZOIE LAM @ ZLISM

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[黑馬哥] 的故事：

在2015年10月凌晨，警員發現一隻黑色唐狗嚴重受傷躺臥在路旁，送往相關部門，檢視晶片得悉為本中心之TNR計劃的流浪動物，立即通知隊長跟進。

隊長知悉後趕往了解，醫生表示黑馬哥精神尚可，後雙腿骨骨折，盤骨鬆脫，幸膀肛沒有嚴重受傷，現留院觀察中，盡快安排手術。從骨折的位置及傷勢，判斷是由硬物重擊令雙腳一同折斷。當時他只有一歲，但他勇敢的眼神告訴我們，他會努力撐住，不會放棄！

隊長立刻安排黑馬哥進行骨科手術，沒料到這他在第一次手術上，遇上了對麻醉藥敏感，幸好經搶救後拾回性命。及後為減低手術風險，不可同時進行兩隻腳的接接駁手術，免身體失去支撐點而難於康復或再次受傷，故治療期需分段進行。
在第二次手術後，因為他自己強行要站立，而引致骨釘與骨板鬆脫，需要再進行手術取出，幸好第三次手術很成功，幾經波折腳患才穩定下來。

經歷了一個月治療，黑馬哥在最後一次接駁手術後，不足24小時就堅強不屈地站起來，令隊長及基地團隊感動得要流淚了，基地團隊非常感激所有幫忙的醫生令黑馬哥的生命不再一樣。黑馬哥在2015年11月加入志永基地大家庭，等待領養至今。

如你不愛，也請你不要傷害！

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Please do not harm the animals even if you do not like them.

In a mid-night in October 2015, a severely injured dog was found lying on the pavement by the police. It was immediately sent to the authority and Captain Chi Wing was informed by the authority after confirming the microchip details. This injured dog, Black Pony, was under Captain’s Trap, Neuter and Return Programme (“TNR”).

Captain took Black Pony to the clinic for treatment. The vet opined that Black Pony suffered from fractured hind legs, pelvic displacement and urinary bladder. In view of his injuries, the vet commented that Black Pony’s injuries were inflicted by human beings. One could see from this one year-old Black Pony’s eyes that he would survive at all costs.

Unfortunately, Black Pony suffered from allergies to anesthesia during surgery. He was saved once again by the vet after resuscitation. To minimise the risk, the vet operated his 2 legs separately.

Less than 24 hours after his second surgery, the stubborn but strong Black Pony stood on his 4 paws to show his progress and unbendable nature. The bone fracture plate and tibia nail were loosened. Black Pony could finally walk on his 4 paws after the third surgery.

After more than a month, Black Pony could walk by himself again. Even though there were a number of follow up surgeries to be operated on this little boy, all members of Dogbase were so glad to see him recovered.

We would like to express our gratitude towards, Dr. Tiong Hai Hean, Dr. Chueh Ti Jen and the lovely vet assistants for saving Black Pony’s life.

Black Pony joined our Chi Wing DogBase family in November 2015 and he is available for adoption.

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請支持 志永儍瓜儍狗特工隊基地 ChiWing DogBase
#生命影響生命
#關愛遍地
#共享藍天

展覽場地：Garage society
場地地址：西營盤干諾道西158A號

展覽日期：
8月12日 至 9月2日

#zlism
#zlismandfriends
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#志永儍瓜儍狗特工隊基地