問題詳情

2.麻醉藥物的效應可以大致分為催眠(hypnotic)以及止痛(analgesic)兩大方面來獨立考量,前者是麻醉深度監測(monitoring of the depth of anesthesia)的主要範疇。下列關於麻醉深度監測的敘述,何者錯誤?
(A)麻醉的深度可以用腦波圖(electroencephalogram, EEG)或由腦波圖計算出來的相關指標進行監測,主要是因為這些指標和麻醉藥物所導致的鎮靜、失憶(amnesia)、意識喪失、以及腦部代謝率降低相關性很高
(B)手術過程中麻醉深度不足,可能導致病患術中清醒(intraoperative awareness) ,低體溫時,其發生率較高
(C)越來越多的證據顯示,術中進行麻醉深度監測,有助於降低病患術中清醒的發生率。但是,進行此項監測,並不能保證病患完全不會發生術中清醒
(D)在病患可以承受的範圍內,儘量維持適當而且穩定的吸入性麻醉氣體濃度,有助於減少病患術中清醒的發生

參考答案

答案:B
難度:簡單0.809524
統計:A(2),B(17),C(2),D(0),E(0)

用户評論

乖乖唸書】評論

(B)體溫和術中清醒沒有查到直接相關Recommendations of the Practice Advisory for Intraoperative Awareness and Brain Function Monitoring (Apfclbaum JL et al, 2006)

霸氣阿宏】評論

Patient physiology on intraoperative awarenessVery rare causes of awareness include drug tolerance, or a tolerance induced by the interaction of other drugs. Some patients may be more resistant to the effects of anesthetics than others; factors such as younger age, obesity, tobacco smoking, or long-term use of certain drugs (alcohol, opiates, or amphetamines) may increase the anesthetic dose needed to produce unconsciousness but this is often used as an excuse for poor technique.[citation needed] There may be genetic variations that cause differences in how quickly patients clear anesthet...