técnicas anestésicas para maxila

8/15/2019 Técnicas anestésicas para maxila

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Päegdebu bgfupäudebu

jb~dlbxfu



Lkebl `f dgadlpxbéåk pd}k `f dgcféåk

Pd}ku `f dgcféåk bgfupäudeb lkebl3 dgadlpxbéåk lkebl, hlkrvfdk`f ebj}k f hlkrvfdk `f gfxqk

Dgpxk`véåk



Dgadlpxbéåk lkebl

* }frvfgbu pfxjdgbéöfu

* pxbpbjfgpk gb jfujb âxfb

* f~3 }b}dlb

* pxbpbjfgpk âxfbu duklb`bu

Dgpxk`véåk



Hlkrvfdk `f ebj}k

* xbjku pfxjdgbdu

* pxbpbjfgpk fj âxfb `dupbgpf

* f~3 bedjb `k â}def

* fgqklqfj pfed`ku `f 2

kv 8 `fgpfu

Dgpxk`véåk



Hlkrvfdk `f gfxqk

* pxkgek gfxqkuk

* âxfb `dupbgpf

* f~3 blqfklbx uv}fxdkx

}kupfxdkx

* bgfupfudb `f rvb`xbgpf

Dgpxk`véåk



2' Uv}xb}fxdõupfb8' Hlkrvfdk `k gfxqk blqfklbx uv}fxdkx }kupfxdkx

5' Hlkrvfdk `k gfxqk blqfklbx uv}fxdkx jä`dk

0' Hlkrvfdk `k gfxqk blqfklbx uv}fxdkx bgpfxdkx

6' Hlkrvfdk `k gfxqk }blbpdgk jbdkx

1' Hlkrvfdk `k gfxqk gbuk}blbpdgk

9' Hlkrvfdk `k gfxqk jb~dlbx

Päegdebu `f dgcféåk jb~dlbx



Gkjfu ekjvgu

* dgadlpxbéåk lkebl + dgcféåk }bxb}fxdõupfb

Gfxqku bgfupfudb`ku

* ixbg`fu pfxjdgbéöfu gfxqkubu `k }lf~k `fgpâxdk

Âxfb bgfupfudb`b

* }kl}b, }fxdõupfk hvebl, pfed`k ekgcvgpdqk f jvekub

Bgfupfudb uv}xb}fxdõupfb



Dg`debéöfu

* bgfupfudb }vl}bx `ku `fgpfu jb~dlbxfu .2 kv 8 `fgpfu$

* pfed`ku jklfu, rvbg`k dg`deb`b edxvxidb `f âxfb edxevguexdpb

Ekgpxb*dg`debéöfu

* dgafeéåk kv dgalbjbéåk biv`b `b âxfb

* `fguk kuuk ekhxdg`k ku â}defu .pfgpbpdqb f fxxk ― 2³ jklbx }fxjbgfgpf$




Qbgpbifgu

* blpbu pb~bu `f uvefuuk .46&$

* abedld`b`f päegdeb* bpxbvjâpdeb

@fuqbgpbifgu

* ixbg`fu âxfbu .jólpd}lbu dgufxéöfu `b bivlnb b ixbg`f qklvjf`f bgfupäudek$





Päegdeb2$ bivlnb evxpb

.ebldhxf 86 kv 89$

8$ }xfib jvekhvebl

.bedjb `k â}def$



Päegdeb

5$ blqk â}def `k `fgpf

0$ xfafxãgedbu

* }xfib jvekhvebl

* ekxkb

* ekgpkxgk `b xbds

6$ kxdfgpbéåk `k hdufl

qklpb`k }bxb kuuk





]xkef`djfgpk* }xf}bxbx k pfed`k .bgpduuä}pdek +

bgfupäudek põ}dek$

* kxdfgpbx hdufl

* lfqbgpbx lâhdk + pfgudkgbx pfed`k



]xkef`djfgpk

* ufxdgib }bxblflb lkgik fd~k `fgpf





]xkef`djfgpk

* dgpxk`vsdx bivlnb

* bu}dxbx

* bivbx`bx `f 8 b 5 jdgvpku



Udgbdu f udgpkjbu

* ufgubéåk `f `kxjãgedb

* bvuãgedb `f `kx `vxbgpf pxbpbjfgpk

Ablnbu

* }fgfpxbéåk dgb`frvb`b `b bivlnb bgfupfudb }vl}bx dgfadedfgpf

* bivlnb }kudedkgb`b lkgif `k kuuk

Ekj}ldebéåk* `kx gb }fgfpxbéåk `b bivlnb .}kgpb ekgpxb k }fxdõupfk$




Hlkrvfdk `k gfxqk blqfklbx uv}fxdkx }kupfxdkx

Gkjfu ekjvgu* hlkrvfdk `b pvhfxkud`b`f

* hlkrvfdk sdikjâpdek

Gfxqk bgfupfudb`k* blqfklbx uv}fxdkx }kupfxdkx f xbjku



Âxfb bgfupfudb`b

* }kl}b `ku jklbxfu .f~eféåk xbds JQ `k 2³ jklbx$

* }fxdõupfk hvebl f kuuk b`cbefgpf




Dg`debéöfu

* pxbpbjfgpk `fgpâxdk fgqklqfg`k 8 kv jbdu jklbxfu

* dgcféåk uv}xb}fxdkupbl ä ekgpxb*dg`deb`b

* dgcféåk uv}xb}fxdkupbl ä dgfadebs

Ekgpxb*dg`debéöfu

* }kuudhdld`b`f `f nfjkxxbidb dgcféåk uv}xb}fxdõupfb + ldibjfgpk

}fxdk`kgpbl




Qbgpbifgu

* dgcféåk bpxbvjâpdeb

* flfqb`b pb~b `f uvefuuk .46&$* gójfxk jêgdjk `f dgcféöfu

* jdgdjdsb qklvjf pkpbl bgfupäudek




@fuqbgpbifgu

* xduek `f nfjbpkjb

* päegdeb jbdu bxhdpxâxdb .bvuãgedb `f xfafxãgedbu õuufbu$

* ufivg`b dgcféåk xfrvfxd`b .xbds JQ `k 2³ jklbx$





Päegdeb2$ bivlnb evxpb .ebldhxf 86 kv 89$

8$ }xfib jvekhvebl .8³ jklbx$



Päegdeb

5$ blqk

gfxqk blqfklbx

uv}fxdkx }kupfxdkx




Päegdeb

0$ xfafxãgedbu

* avg`k uvlek* pvhfxkud`b`f

* }xkefuuk sdikjâpdek




Päegdeb

6$ kxdfgpbéåk `k hdufl qklpb`k }bxb kuuk

1$ }xkef`djfgpk





]xkef`djfgpk

* }xf}bxbx ku pfed`ku

* kxdfgpbx hdufl bivlnb

* xfpxbdx hkenfenbu




]xkef`djfgpk

*dgpxk`vsdx b bivlnb

.}' edjb + }' `fgpxk f }' pxâu$



]xkef`djfgpk

* 06³ }lbgk kelvubl f }lbgk ubidpbl jf`dbgk





]xkef`djfgpk

* bqbgébx bivlnb bpä

}xkavg`d`b`f `fufcb`b .21jj$



]xkef`djfgpk

* bu}dxbx

* dgcfpbx lfgpbjfgpf .=,4 b 2,> jl + 5=*1=u$

* bivbx`bx 5 b 6 jdgvpku




Udgbdu f udgpkjbu

* vuvbljfgpf ufj udgpkjbu


Ablnbu* bivlnb jvdpk lbpfxbl

* bivlnb jvdpk hbd~b

* bivlnb jvdpk }kupfxdkx

Ekj}ldebéöfu

* nfjbpkjb .}lf~k qfgkuk }pfxdiõd`fk$

* bgfupfudb jbg`dhvlbx




Gfxqk bgfupfudb`k

* blqfklbx uv}fxdkx jä`dk f xbjku

Âxfb bgfupfudb`b

* }kl}b `ku }xä*jklbxfu

* xbds JQ `k 2³ jklbx

* pfed`ku jklfu hvebdu f kuuk b`cbefgpf

Hlkrvfdk `k gfxqk blqfklbx uv}fxdkx jä`dk



Dg`debéöfu

* pxbpbjfgpk `fgpâxdk fgqklqfg`k ukjfgpf }xä*jklbxfu

* hlkrvfdk `k gfxqk dgaxb*kxhdpâxdk ablnb gb bgfupfudb `dupbl bk ebgdgk




Ekgpxb*dg`debéöfu

* dgafeéåk kv dgalbjbéåk `b âxfb

* gfxqk bvufgpf .dgfxqbéåk }flk BUB$

Qbgpbifgu* jdgdjdsb gójfxk ̀ f dgcféöfu f qklvjf `f bgfupäudek

@fuqbgpbifgu

* gfgnvjb




Päegdeb

2$ bivlnb evxpb kv lkgib .ebldhxf 86$

8$ }xfib jvekhvebl .8³ }xä*jklbx$

5$ blqk kuuk uv}fxdkx bk â}def `k 8³ }xä*jklbx





Päegdeb

0$ xfafxãgedbu avg`k uvlek bedjb 8³

}xä* jklbx



Päegdeb

6$ kxdfgpbéåk `k hdufl qklpb`k }bxb kuuk

1$ }xkef`djfgpk





]xkef`djfgpk* }xf}bxbx ku pfed`ku

* babupbx lâhdk }bxb pfgudkgbx

pfed`k

* kxdfgpbx k hdufl* dgpxk`vsdx b bivlnb .8³ }xä$



]xkef`djfgpk

* bu}dxbx

* dgcféåk lfgpb .=,4 b 2,8 jl ― 5= b 06u$





Udgbdu f udgpkjbu

* bgfupfudb `k lâhdk uv}fxdkx


Ablnbu* `f}kudéåk `k bgfupäudek fj }kudéåk fxxðgfb

* kuuk sdikjâpdek fqdpbg`k b `davuåk `k bgfupäudek

Ekj}ldebéöfu

* xbxbu

* nfjbpkjb




Gfxqku bgfupfudb`ku

* blqfklbx uv}fxdkx bgpfxdkx

* blqfklbx uv}fxdkx jä`dk

* }bl}fhxbl dgafxdkx

* gbubl lbpfxbl

* lbhdbl uv}fxdkx

Hlkrvfdk `k gfxqk dgaxb*kxhdpâxdk



Âxfb bgfupfudb`b

* }kl}b `ku dgedudqku f ebgdgku

* }xä*jklbxfu f xbds JQ `k 2³ jklbx 98&

* pfed`ku jklfu hvebdu f kuuk uvhcbefgpf

* }âl}fhxb dgafxdkx, abef lbpfxbl `k gbxds f lâhdk uv}fxdkx




Dg`debéöfu

* }xkef`djfgpku fgqklqfg`k jbdu `f 8 `fgpfu

* dgalbjbéåk kv dgafeéåk

* dgfadeâedb `bu dgcféöfu uv}xb}fxdõupfbu

Ekgpxb*dg`debéöfu

* pxbpbjfgpk `f }frvfgbu âxfbu

* nfjkupbudb `f `fpfxjdgb`b ä `fufcâqfl




Qbgpbifgu

*päegdeb ekj}bxbpdqbjfgpf udj}lfu f ufivxb

*.jdgdjdsb dgcféöfu + qklvjf bgfupäudek$

@fuqbgpbifgu

* }udeklõidebu .}xkaduudkgbl f }bedfgpf$

* bgbpðjdebu .}kgpku `f xf}bxk$




Päegdeb

2$ bivlnb lkgib .ebldhxf 86$

8$ avg`k `f uvlek .2³ }xä*jklbx$

5$ blqk akxbjf dgaxb*kxhdpâxdk





Päegdeb0$ xfafxãgedbu

* }xfib jvekhvebl

* akxbjf dgaxb*kxhdpâxdk


qklpb`k }bxb kuuk

1$ }xkef`djfgpk



]xkef`djfgpk

* buuvjdx }kudéåk

ekxxfpb .2=n$

* `feóhdpk `kxubl +

}fuekék fupfg`d`k




]xkef`djfgpk

* }xf}bxbx ku pfed`ku

* lkebldsbx k akxbjf dgaxb*kxhdpâxdk




]xkef`djfgpk

* jbgpfx `f`k + jbxebx lkebl

* babupbx lâhdk

* kxdfgpbx k hdufl




]xkef`djfgpk

* dgpxk`vsdx b bivlnb .2³ }xä$

* kxdfgpbx bivlnb fj `dxféåk akxbjf

.}bxblflb lkgik fd~k$

* }fgfpxbéåk bivlnb .21jj$




]xkef`djfgpk

* bu}dxbx

* dgcféåk lfgpb .=,4 b 2,8 jl ― 5= b 06u$





Udgbdu f udgpkjbu

* `kxjãgedb }âl}fhxb dgafxdkx,

lbpfxbl `k gbxds f lâhdk uv}fxdkx

* `kxjãgedb `f `fgpfu f pfed`ku

jklfu dgfxqb`ku }flku gfxqku

blqfklbxfu bgpfxdkx f jä`dk

* bvuãgedb `f `kx `vxbgpf pfxb}db




Ablnbu

* bivlnb fgekgpxb kuuk dgafxdkx bk akxbjf dgaxb*kxhdpâxdk .bvuãgedb bgfupfudb `fgpâxdb$

* `fuqdk `b bivlnb

Ekj}ldebéöfu

* nfjbpkjb .xbxk$




Fpb}bu

* bgfupäudek põ}dek b`frvb`k

* }xfuuåk ukhxf k lkebl `b dgcféåk .bgpfu f `vxbgpf$

* ekgpxklf `b bivlnb* `f}kudéåk lfgpb `k bgfupäudek

* ekgqdeéåk `f rvf k }xkef`djfgpk }k`f ufx bpxbvjâpdek

Pd}ku

}blbpdgk jbdkx + gbuk}blbpdgk + dgadlpxbéåk

Bgfupfudbu }blbpdgbu



Dg`debéöfu

* bgfupfudb `f pfed`ku jklfu . xfupbvxbéöfu uvhifgidqbdu + dgufxéåk `f abd~bu jbpxds$* }xkef`djfgpku edxóxideku kv }fxdk`kgpbdu

Ekgpxb*dg`debéöfu

* dgafeéåk + dgalbjbéåk lkebl

* pxbpbjfgpk `f }frvfgbu âxfbu

Hlkrvfdk `k gfxqk }blbpdgk jbdkx



Qbgpbifgu

* jdgdjdsb gójfxk }fxavxbéöfu f qklvjf `f bgfupäudek

* jdgdjdsb `fuekgakxpk

@fuqbgpbifgu

* nfjkupbudb b}fgbu gb âxfb `b dgcféåk

* }kpfgedbljfgpf pxbvjâpdeb




Päegdeb

2$ bivlnb evxpb .ebldhxf 89$

8$ pfed`k jklf ldifdxbjfgpf bgpfxdkx bk akxbjf }blbpdgk jbdkx




Päegdeb

5$ blqk

gfxqk }blbpdgk

jbdkx

.bgpfxdkx$




Päegdeb

0$ xfafxãgedbu akxbjf }blbpdgk

jbdkx f cvgéåk }xkefuuk blqfklbx +kuuk }blbpdgk

6$ pxbcfpk dgpxk`véåk b }bxpdx `k

lb`k k}kupk .4=³$




Päegdeb

1$ kxdfgpbéåk `k hdufl qklpb`k }bxb pfed`ku jklfu

9$ }xkef`djfgpk




]xkef`djfgpk

* buuvjdx }kudéåk ekxxfpb

.lb`k ` 9n$




]xkef`djfgpk

* buuvjdx }kudéåk ekxxfpb

.lb`k f 22n$





]xkef`djfgpk

* lkebldsbx k akxbjf }blbpdgk jbdkx

* }xf}bxbx k pfed`k . 2 b 8 jj bgpfxdkx$




]xkef`djfgpk

* b}ldebx }xfuuåk ukhxf akxbjf

* `dxfedkgbx ufxdgib+hdufl }bxb pfed`k jklf

* }fgfpxbx }kvek f dgcfpbx bgfupäudek

* ekgpdgvbx ekj}xfuuåk* bqbgébx bpä kuuk }blbpdgk




]xkef`djfgpk

* bu}dxbx

* dgcféåk lfgpb




Udgbdu f udgpkjbu

* `kxjãgedb }kxéåk }kupfxdkx `k }blbpk


Ablnbu

* uklvéåk `f}kudpb`b bgpfxdkxjfgpf uvefuuk }bxedbl

* bgfupfudb `k 2³ }xä*jklbx adhxbu uv}fx}kupbu `k gfxqk

gbuk}blbpdgk




Ekj}ldebéöfu

* dged`ãgedb f~pxfjbjfgpf hbd~b

* durvfjdb f gfexkuf qbukekgupxdpkxfu ekgefgpxb`ku

* nfjbpkjbu .xbxku$




Âxfb bgfupfudb`b

* }kxéåk bgpfxdkx `k }blbpk `vxk f pfed`ku jklfu b`cbefgpfu

.fgpxf 2³ }xä*jklbxfu$

Hlkrvfdk `k gfxqk gbuk}blbpdgk



Dg`debéöfu * bgfupfudb `f pfed`ku jklfu }blbpdgku }bxb xfupbvxbéåk `f 8 kv 5 `fgpfu

*.xfupbvxbéöfu uvhifgidqbdu + dgufxéöfu `f hbg`bu$

* }xkef`djfgpku edxóxideku kv }fxdk`kgpbdu

Ekgpxb*dg`debéöfu

* dgafeéåk + dgalbjbéåk

* }frvfgbu âxfbu .2 kv 8 `fgpfu$




Qbgpbifgu

* jdgdjdsb gójfxk dgcféöfu f qklvjf `f bgfupäudek

* jdgdjdsb `fuekgakxpk

@fuqbgpbifgu

* nfjkupbudb b}fgbu gb âxfb `b dgcféåk

* }kpfgedbljfgpf pxbvjâpdeb

.}xkpkeklk }bxb dgcféåk bpxbvjâpdeb$




Päegdeb `f }fgfpxbéåk ógdeb `b bivlnb

2$ bivlnb evxpb .ebldhxf 89$

8$ jvekub }blbpdgb lbpfxbl í }b}dlb dgedudqb

5$ blqk

akxbjf dgedudqk





0$ xfafxãgedbu dgedudqk efgpxbl f }b}dlb dgedudqb





6$ pxbcfpk dgpxk`véåk 06³ ekj }b}dlb dgedudqb





1$ kxdfgpbéåk `k hdufl qklpb`k }bxb pfed`ku }blbpdgku

9$ }xkef`djfgpk




]xkef`djfgpk

* }kudéåk ekxxfpb .4n kv 2=n$

* f~pfguåk `k }fuekék





]xkef`djfgpk* hdufl }bxb pfed`ku durvãjdeku

* }fgfpxbx }kvek f dgcfpbx bgfupäudek

* jbgpfx ekj}xfuuåk

* bqbgébx bivlnb fj `dxféåk bk akxbjf

* bu}dxbx

* dgcfpbx lfgpbjfgpf .2+0 pvhfpf$* bivbx`bx 8 b 5 jdgvpku

Hl d ` l pd



Udgbdu f udgpkjbu

* `kxjãgedb }kxéåk bgpfxdkx `k }blbpk


Ablnbu

* bgfupfudb vgdlbpfxbl

* bgfupfudbu fj ebgdgku b 2³ }xä*jklbx adhxbu gfxqk }blbpdgk jbdkx


Hl d ` l pd



Ekj}ldebéöfu

* dged`ãgedb f~pxfjbjfgpf hbd~b

* nfjbpkjbu .xbxku$

* durvfjdb f gfexkuf qbukekgupxdpkxfu ekgefgpxb`ku


D adlp å l l l p



Gfxqku bgfupfudb`ku

* xbjku pfxjdgbdu `k gbuk}blbpdgk f gfxqk }blbpdgk jbdkx

Âxfb bgfupfudb`b

* pfed`ku jklfu edxevgqdsdgnku

í dgcféåk

Dgadlpxbéåk lkebl gk }blbpk

D adlp å l l l p



Dg`debéöfu

* nfjkupbudb

* bgfupfudb pfed`ku jklfu .eklkebéåk `f ixbj}ku + adk `f xfpxbéåk ifgidqbl$

Ekgpxb*dg`debéöfu

* dgafeéåk + dgalbjbéåk

* ekgpxklf `b `kx fj âxfbu fgqklqfg`k jbdu rvf 8 `fgpfu


D adlp å l l l p



Qbgpbifgu

* nfjkupbudb .qbukekgupxdpkxfu$

* jdgdjdsb `fuekgakxpk .jêgdjb âxfb `kxjãgedb$

@fuqbgpbifgu

* blpk }kpfgedbl pxbvjâpdek


D adlp å l l l p



Päegdeb

2$ bivlnb evxpb .ebldhxf 89$8$ ifgidqb dgufxd`b .6*2= jj `b jbxifj

ifgidqbl ldqxf$

5$ blqk pfed`ku ifgidqbdu


D adlp å l l l p



Päegdeb

0$ xfafxãgedbu

pfed`k ifgidqbl }xõ~djk í âxfb6$ kxdfgpbéåk `k hdufl qklpb`k }bxb pfed`ku

jklfu }blbpdgku

1$ }xkef`djfgpk


D adlp å l l l p




]xkef`djfgpk

* ekj}xdjdx }xõ~djk bk

lkebl `f dgcféåk

* }fgfpxbx ekj hdufl f

dgdedbx dgadlpxbg`k

D adlp å l l l p




]xkef`djfgpk

* jbgpfx ekj}xfuuåk

* bqbgébx bivlnb bpä pfed`k õuufk

* b`jdgdupxbx bpä durvfjdb `b âxfb

`fufcb`b




Udgbdu f udgpkjbu

* `kxjãgedb f durvfjdb `ku pfed`ku jklfu }blbpdgku


Ablnbu `b nfjkupbudb

* jbdkx pb~b `f uvefuuk uf dgelvê`k qbukekgupxdpkx

* nfjkxxbidb }k`f }fxudupdx fj pfed`ku dgalbjb`ku





Ekj}ldebéöfu

* f~pxfjbjfgpf xbxbu

* durvfjdb f gfexkuf blpb ekgefgpxbéåk

qbukekgupxdpkx




Hlkrvfdk `k gfxqk jb~dlbx



Âxfb bgfupfudb`b

* bgfupfudb }vl}bx `k lb`k bgfupfudb`k

* }fxdk`kgpk f kuuk uvhcbefgpf* pfed`ku jklfu f }blbpk `vxk

* }flf `b }âl}fhxb dgafxdkx, lbpfxbl `k

gbxds, hkenfenb f lâhdk uv}fxdkx





Dg`debéöfu

* ekgpxklf `b `kx fj edxvxidbu f~pfgubu

* dgalbjbéåk kv dgafeéåk pfed`vbl* `dbigõupdek `f gfvxblidbu





Ekgpxb*dg`debéöfu

* dgf~}fxdãgedb `k }xkaduudkgbl

* }bedfgpfu }f`dâpxdeku

* }bedfgpfu gåk ekk}fxbpdqku* dgalbjbéåk kv dgafeéåk `ku pfed`ku

* xduek `f nfjkxxbidb

* dj}kuudhdld`b`f `f befuuk }flk ebgbl }blbpdgk





Qbgpbifgu

* dgcféåk bpxbvjâpdeb .qdb pvhfx$

* blpbu pb~bu `f uvefuuk .46&$* jdgdjdsb gójfxk }vgéöfu }bxb bgfupfudb `f nfjd*

jb~dlb

* jdgdjdsb qklvjf pkpbl bgfupäudek





@fuqbgpbifgu

* xduek `f nfjbpkjb

* päegdeb jbdu ekj}lf~b

* bvuãgedb `f nfjkupbudb

* `kx .bhkx`bifj ebgbl }blbpdgk jbdkx$





Päegdeb .bhkx`bifj pvhfxkud`b`f$

2$ bivlnb lkgib

.ebldhxf 86$

8$ }xfib jvekhvebl

`dupbl bk 8³ jklbx

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