

{"id":1439,"date":"2025-05-16T08:04:31","date_gmt":"2025-05-16T01:04:31","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=1439"},"modified":"2025-10-14T07:40:05","modified_gmt":"2025-10-14T00:40:05","slug":"khoa-gay-me-hoi-suc-2","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=1439","title":{"rendered":"Khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Tr\u01b0\u1edfng khoa\/ph\u00f2ng:<\/strong><strong> BS CK2 NGUY\u1ec4N TRUNG C\u01af\u1edcNG<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nh\u00e2n s\u1ef1:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-9c3b5f7d wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/04\/Screenshot-2025-05-16-075818.png ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/04\/Screenshot-2025-05-16-075818.png 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/04\/Screenshot-2025-05-16-075818.png 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/04\/Screenshot-2025-05-16-075818.png\" alt=\"\" class=\"uag-image-9869\" width=\"1255\" height=\"880\" title=\"Screenshot 2025-05-16 075818\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f3 t\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean l\u00e0 150<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Bao g\u1ed3m 18 B\u00e1c s\u0129 : 5 Chuy\u00ean khoa 2, 1 Ti\u1ebfn s\u0129, 4 Chuy\u00ean khoa 1, hi\u1ec7n 1 BS \u0111ang tu nghi\u1ec7p t\u1ea1i Ph\u00e1p, 1 BS tu nghi\u1ec7p t\u1ea1i H\u00e0n Qu\u1ed1c, v\u00e0 1 BS tu nghi\u1ec7p t\u1ea1i \u0110\u00e0i Loan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; 121 \u0111i\u1ec1u d\u01b0\u1ee1ng (c\u00f3 4 th\u1ea1c s\u0129, 114 c\u1eed nh\u00e2n v\u00e0 cao \u0111\u1eb3ng), v\u00e0 11 h\u1ed9 l\u00fd.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Ngo\u00e0i ra, khoa c\u00f2n c\u00f3 s\u1ef1 tham gia th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng v\u00e0 gi\u1ea3ng d\u1ea1y c\u1ee7a 7 c\u00e1n b\u1ed9 gi\u1ea3ng c\u1ee7a \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c TPHCM v\u00e0 Tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y Khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kh\u1ea3 n\u0103ng chuy\u00ean m\u00f4n c\u1ee7a khoa\/ph\u00f2ng:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1ec1 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f3 02 t\u1ed5 c\u00f4ng t\u00e1c g\u1ed3m \u0111\u01a1n v\u1ecb g\u00e2y m\u00ea ph\u1eabu thu\u1eadt v\u00e0 \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c ngo\u1ea1i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01a1n v\u1ecb g\u00e2y m\u00ea ph\u1eabu thu\u1eadt g\u1ed3m khu h\u00e0nh ch\u00e1nh, khu ti\u1ec1n m\u00ea, v\u00e0 khu ph\u00f2ng m\u1ed5. Khu ph\u00f2ng m\u1ed5 c\u00f3 14 ph\u00f2ng ph\u1ee5 tr\u00e1ch ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh, 03 ph\u00f2ng m\u1ed5 khu chuy\u00ean khoa Tai-M\u0169i-H\u1ecdng, M\u1eaft, v\u00e0 c\u00e1c \u0111\u01a1n v\u1ecb g\u00e2y m\u00ea ngo\u00e0i ph\u00f2ng m\u1ed5 (n\u1ed9i soi ti\u00eau ho\u00e1, can thi\u1ec7p n\u1ed9i m\u1ea1ch, gi\u1ea3m \u0111au s\u1ea3n khoa, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, n\u1ed9i soi ph\u1ebf qu\u1ea3n).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01a1n v\u1ecb g\u00e2y m\u00ea ph\u1eabu thu\u1eadt c\u00f3 nhi\u1ec7m v\u1ee5 t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng ph\u1eabu thu\u1eadt, \u0111\u1ea3m b\u1ea3o an to\u00e0n, hi\u1ec7u qu\u1ea3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb Ngo\u1ea1i khoa. \u0110\u01a1n v\u1ecb \u0111\u01b0\u1ee3c trang b\u1ecb nhi\u1ec1u thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i ph\u1ee5c v\u1ee5 cho c\u00e1c k\u1ef9 thu\u1eadt cao nh\u01b0 m\u00e1y ph\u1eabu thu\u1eadt n\u1ed9i soi t\u1ed5ng qu\u00e1t, ni\u1ec7u, s\u1ea3n, ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, k\u00ednh vi ph\u1eabu th\u1ebf h\u1ec7 m\u1edbi ph\u1ee5c v\u1ee5 ph\u1eabu thu\u1eadt th\u1ea7n kinh s\u1ecd n\u00e3o, m\u00e1y C-arm, dao c\u1eaft \u0111\u1ed1t si\u00eau \u00e2m, m\u00e1y si\u00eau \u00e2m t\u1ea1i gi\u01b0\u1eddng, m\u00e1y g\u00e2y m\u00ea c\u00f3 ph\u00e2n t\u00edch kh\u00ed m\u00ea, monitor theo d\u00f5i \u0111\u01b0\u1ee3c \u0111\u1ed9 d\u00e3n c\u01a1, esCCO, m\u00e1y BIS, \u1ed1ng n\u1ed9i soi m\u1ec1m 3.5 mmm, m\u00e1y truy\u1ec1n m\u00e1u ho\u00e0n h\u1ed3i, m\u00e1y s\u01b0\u1edfi \u1ea5m ng\u01b0\u1eddi b\u1ec7nh v\u00e0 s\u01b0\u1edfi \u1ea5m d\u1ecbch truy\u1ec1n, \u2026<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01a1n v\u1ecb h\u1ed3i s\u1ee9c ngo\u1ea1i g\u1ed3m c\u00f3 59 gi\u01b0\u1eddng, bao g\u1ed3m khu h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c ngo\u1ea1i khoa, khu h\u1ed3i t\u1ec9nh v\u00e0 khu ch\u1ed1ng \u0111au c\u1ea5p sau m\u1ed5. \u0110\u01a1n v\u1ecb h\u1ed3i s\u1ee9c ngo\u1ea1i c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed3i s\u1ee9c b\u1ec7nh n\u1eb7ng tr\u01b0\u1edbc v\u00e0 sau m\u1ed5, ki\u1ec3m so\u00e1t \u0111au c\u1ea5p sau m\u1ed5, ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd. \u0110\u01a1n v\u1ecb c\u00f3 nhi\u1ec1u trang thi\u1ebft b\u1ecb theo d\u00f5i \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c&nbsp; hi\u1ec7n \u0111\u1ea1i nh\u01b0 m\u00e1y gi\u00fap th\u1edf, monitor theo d\u00f5i huy\u1ebft \u00e1p x\u00e2m l\u1ea5n, \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m li\u00ean t\u1ee5c, theo d\u00f5i n\u1ed3ng \u0111\u1ed9 CO<sub>2<\/sub> cu\u1ed1i th\u00ec th\u1edf ra, m\u00e1y kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, v\u00e0 si\u00eau \u00e2m doppler xuy\u00ean s\u1ecd, m\u00e1y ch\u1ea1y l\u1ecdc m\u00e1u li\u00ean t\u1ee5c (Renal Replacement Therapy \u2013 CRRT), thay huy\u1ebft t\u01b0\u01a1ng (Therapeutic plama exchange \u2013 TPE).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nhi\u1ec7m v\u1ee5 khoa\/ph\u00f2ng<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00e2y m\u00ea h\u1ed3i s\u1ee9c l\u00e0 m\u1ed9t khoa chuy\u00ean s\u00e2u trong l\u0129nh v\u1ef1c \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb, \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c ho\u00e0n ch\u1ec9nh theo Th\u00f4ng t\u01b0 s\u1ed1 13\/2012\/TT-BYT, ng\u00e0y 20\/08\/2012 c\u1ee7a B\u1ed9 Y T\u1ebf. Nhi\u1ec7m v\u1ee5 tr\u1ecdng t\u00e2m l\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n, hi\u1ec7u qu\u1ea3 cho ho\u1ea1t \u0111\u1ed9ng g\u00e2y m\u00ea h\u1ed3i s\u1ee9c, ph\u1eabu thu\u1eadt nh\u1eb1m m\u1ee5c ti\u00eau n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra, khoa c\u00f2n l\u00e0 m\u00f4i tr\u01b0\u1eddng h\u1ee3p t\u00e1c vi\u1ec7n tr\u01b0\u1eddng, k\u1ebft h\u1ee3p v\u1edbi \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TPHCM, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y Khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch, m\u1ed9t s\u1ed1 \u0111\u01a1n v\u1ecb y t\u1ebf trong v\u00e0 ngo\u00e0i c\u00f4ng l\u1eadp trong c\u00f4ng t\u00e1c \u0111\u00e0o t\u1ea1o \u0111\u1ea1i h\u1ecdc v\u00e0 sau \u0111\u1ea1i h\u1ecdc. Khoa GMHS duy tr\u00ec c\u00f4ng t\u00e1c h\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 trao \u0111\u1ed5i kinh nghi\u1ec7m, v\u00e0 hu\u1ea5n luy\u1ec7n chuy\u00ean m\u00f4n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c hi\u1ec7n<\/strong> <strong>nay<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n quy \u0111\u1ecbnh t\u1ea1i Th\u00f4ng t\u01b0 23\/2024\/TT-BYT ng\u00e0y 18 th\u00e1ng 10 n\u0103m 2024.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c1p d\u1ee5ng c\u00e1c n\u1ed9i dung c\u1ee7a chi\u1ebfn l\u01b0\u1ee3c ph\u1ee5c h\u1ed3i s\u1edbm sau ph\u1eabu thu\u1eadt (Enhanced Recovery After Surgery- ERAS) v\u00e0o c\u00f4ng t\u00e1c g\u00e2y m\u00ea h\u1ed3i s\u1ee9c. Hi\u1ec7n \u0111\u00e3 \u00e1p d\u1ee5ng cho ph\u1eabu thu\u1eadt gan, \u0111\u1ea1i tr\u00e0ng, c\u1ed9t s\u1ed1ng, t\u1eed cung.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt g\u00e2y t\u00ea th\u1ea7n kinh ngo\u1ea1i vi d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m \u0111\u1ec3 gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c k\u1ef9 thu\u1eadt l\u00e0 \u01b0u \u0111i\u1ec3m n\u1ed5i b\u1eadt c\u1ee7a khoa g\u1ed3m cac k\u1ef9 thu\u1eadt GMHS h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>G\u00e2y m\u00ea h\u1ed3i s\u1ee9c gh\u00e9p th\u1eadn<\/li>\n\n\n\n<li>H\u1ed3i s\u1ee9c b\u1ea3o v\u1ec7 t\u1ea1ng tr\u00ean ng\u01b0\u1eddi hi\u1ebfn t\u1ea1ng ch\u1ebft n\u00e3o<\/li>\n\n\n\n<li>L\u1ecdc m\u00e1u li\u00ean t\u1ee5c<\/li>\n\n\n\n<li>L\u1ecdc m\u00e1u ng\u1eaft qu\u00e3ng<\/li>\n\n\n\n<li>Thay huy\u1ebft t\u01b0\u01a1ng (ph\u1ed1i h\u1ee3p HS TC-C\u0110)<\/li>\n\n\n\n<li>G\u00e2y m\u00ea ph\u1ed1i h\u1ee3p v-vECMO<\/li>\n\n\n\n<li>K\u1ef9 thu\u1eadt g\u00e2y t\u00ea v\u00f9ng \u00edt x\u00e2m l\u1ea5n, gi\u1ea3m \u0111au sau m\u1ed5<\/li>\n\n\n\n<li>T\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng \u0111o\u1ea1n ng\u1ef1c \u0111\u1ec3 gi\u1ea3m \u0111au sau m\u1ed5.<\/li>\n\n\n\n<li>Gi\u1ea3m \u0111au trong chuy\u1ec3n d\u1ea1 b\u1eb1ng t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng \u0111o\u1ea1n th\u1eaft l\u01b0ng.<\/li>\n\n\n\n<li>T\u00ea qua c\u00e1c l\u1edbp c\u00e2n b\u1ee5ng (TAP block) d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>T\u00ea khoang c\u1ea1nh c\u1ed9t s\u1ed1ng d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>T\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 d\u1ef1ng s\u1ed1ng d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>T\u00ea th\u1ea7n kinh \u0111\u00f9i k\u1ebft h\u1ee3p th\u1ea7n kinh b\u00ec \u0111\u00f9i ngo\u00e0i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>T\u00ea khoang m\u1ea1c ch\u1eadu d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>T\u00ea \u1ed1ng c\u01a1 kh\u00e9p d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m doppler xuy\u00ean s\u1ecd.<\/li>\n\n\n\n<li>\u0110\u1eb7t catheter t\u0129nh m\u1ea1ch trung t\u00e2m, catheter \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m.<\/li>\n\n\n\n<li>G\u00e2y t\u00ea khoang d\u01b0\u1edbi nh\u1ec7n c\u00f3 h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m \u1edf ng\u01b0\u1eddi b\u1ec7nh b\u00e9o ph\u00ec ho\u1eb7c t\u00ea kh\u00f3.<\/li>\n\n\n\n<li>Nu\u00f4i d\u01b0\u1ee1ng ng\u01b0\u1eddi b\u1ec7nh n\u1eb7ng c\u00f3 b\u1ed5 sung \u0111\u1ea1m theo c\u00e2n b\u1eb1ng nitrogen.<\/li>\n\n\n\n<li>Gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt b\u1eb1ng k\u1ef9 thu\u1eadt PCA.<\/li>\n\n\n\n<li>Gi\u1ea3m \u0111au b\u1eb1ng opioid trong khoang d\u01b0\u1edbi nh\u1ec7n.<\/li>\n\n\n\n<li>D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110\u1ecbnh h\u01b0\u1edbng t\u01b0\u01a1ng lai<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GM cho PT s\u1ecd n\u00e3o c\u1ea5y gh\u00e9p m\u00f4 n\u00e3o ch\u1ee9c n\u0103ng, ch\u1ec9nh s\u1eeda di ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng n\u00e3o, vi ph\u1eabu k\u1ebft h\u1ee3p IOM \u0111\u1ecbnh v\u1ecb b\u00f3 th\u1ea7n kinh \u1edf t\u1ee7y ho\u1eb7c \u0111\u1ecbnh v\u1ecb m\u00f4 ch\u1ee9c n\u0103ng \u1edf n\u00e3o.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u00f4 h\u00ecnh k\u1ebft h\u1ee3p ch\u1ea1y Tim ph\u1ed5i m\u00e1y v\u00e0\/ho\u1eb7c ph\u1ed1i h\u1ee3p ECMO trong ph\u1eabu thu\u1eadt \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, ch\u1ec9nh h\u00ecnh gh\u00e9p n\u1ed1i \u0110MC ng\u1ef1c b\u1ee5ng\u2026<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ee3p t\u00e1c, h\u1ecdc t\u1eadp n\u00e2ng cao chuy\u00ean m\u00f4n t\u1ea1i H\u00e0n Qu\u1ed1c trong \u0111\u1ec1 \u00e1n tri\u1ec3n khai gh\u00e9p gan c\u1ee7a b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tri\u1ec3n khai c\u00e1c k\u1ef9 thu\u1eadt gi\u1ea3m \u0111au \u0111a m\u00f4 th\u1ee9c an to\u00e0n, hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ed1i \u01b0u h\u00f3a qu\u00e1 tr\u00ecnh chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5 \u1edf ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u1ed1i h\u1ee3p t\u1ed5 ch\u1ee9c ph\u1eabu thu\u1eadt trong ng\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c ng\u01b0\u1eddi b\u1ec7nh n\u1eb7ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c1p d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong t\u1ed5 ch\u1ee9c kh\u00e1m g\u00e2y m\u00ea, kh\u00e1m ti\u1ec1n m\u00ea chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ee8ng d\u1ee5ng AI d\u1ef1 \u0111o\u00e1n nguy c\u01a1 AKI, suy h\u00f4 h\u1ea5p c\u1ea5p sau m\u1ed5, NMCT, \u0111au h\u1eadu ph\u1eabu\u2026 v\u00e0 ki\u1ec3m so\u00e1t thu\u1ed1c m\u00ea ch\u00ednh x\u00e1c theo th\u1eddi gian th\u1ef1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ee8ng d\u1ee5ng h\u1ec7 th\u1ed1ng m\u00e1y g\u00e2y m\u00ea th\u00f4ng minh, h\u1ec7 th\u1ed1ng ki\u1ec3m so\u00e1t \u0111\u1ed9 m\u00ea t\u1ef1 \u0111\u1ed9ng (Closed-loop Anesthesia). S\u1eed d\u1ee5ng AI v\u00e0 thu\u1eadt to\u00e1n \u0111i\u1ec1u khi\u1ec3n \u0111\u1ec3 t\u1ef1 \u0111\u1ed9ng \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c m\u00ea (propofol, remifentanil) d\u1ef1a tr\u00ean t\u00edn hi\u1ec7u sinh l\u00fd t\u1eeb b\u1ec7nh nh\u00e2n (EEG, BIS, hemodynamics).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ee8ng d\u1ee5ng h\u1ec7 th\u1ed1ng t\u00edch h\u1ee3p d\u1eef li\u1ec7u EEG, huy\u1ebft \u0111\u1ed9ng \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a \u0111\u1ed9 m\u00ea, gi\u1ea3m bi\u1ebfn ch\u1ee9ng do qu\u00e1 li\u1ec1u\/thu\u1ed1c m\u00ea, t\u0103ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng. BIS (Bispectral Index) 4.0:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng khoa v\u1edbi tinh th\u1ea7n ph\u1ee5c v\u1ee5, h\u01b0\u1edbng t\u1edbi t\u0103ng s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, nh\u00e2n vi\u00ean khoa v\u00e0 \u0111\u1ed3ng nghi\u1ec7p trong b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Th\u00e0nh t\u00edch chung n\u1ed5i b\u1eadt c\u1ee7a khoa\/ph\u00f2ng<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec1u n\u0103m li\u1ec1n \u0111\u1ea1t th\u00e0nh t\u00edch T\u1eadp th\u1ec3 lao \u0111\u1ed9ng xu\u1ea5t s\u1eafc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1eb1ng khen c\u1ee7a UBND TP H\u1ed3 Ch\u00ed Minh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1eb1ng khen Phong tr\u00e0o thi \u0111ua y\u00eau n\u01b0\u1edbc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec1u \u0111\u1ec1 t\u00e0i nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00e0 s\u00e1ng ki\u1ebfn c\u1ea3i ti\u1ebfn \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u1ec7m thu, \u0111\u0103ng t\u1ea1p ch\u00ed khoa h\u1ecdc trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc, b\u00e1o c\u00e1o t\u1ea1i c\u00e1c h\u1ed9i ngh\u1ecb chuy\u00ean ng\u00e0nh, gi\u00fap c\u1ea3i ti\u1ebfn quy tr\u00ecnh, ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u1ea1i khoa, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. Nhi\u1ec1u c\u00e1 nh\u00e2n \u0111\u1ea1t th\u00e0nh t\u00edch xu\u1ea5t s\u1eafc v\u00e0 khen th\u01b0\u1edfng c\u1ea5p th\u00e0nh ph\u1ed1 nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3i th\u01b0\u1edfng Qu\u1ea3 c\u1ea7u v\u00e0ng l\u0129nh v\u1ef1c c\u00f4ng ngh\u1ec7 y d\u01b0\u1ee3c.<\/li>\n\n\n\n<li>Gi\u1ea3i th\u01b0\u1edfng H\u1ed9i thi S\u00e1ng t\u1ea1o khoa h\u1ecdc k\u1ef9 thu\u1eadt.<\/li>\n\n\n\n<li>Gi\u1ea3i th\u01b0\u1edfng Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/li>\n\n\n\n<li>B\u1eb1ng khen th\u1ee7 t\u01b0\u1edbng ch\u00ednh ph\u1ee7<\/li>\n\n\n\n<li>Danh hi\u1ec7u Th\u1ea7y thu\u1ed1c \u01b0u t\u00fa<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>K\u1ef7 ni\u1ec7m ch\u01b0\u01a1ng v\u00ec s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-1f6beae7 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/59af51f5053ca262fb2d.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/59af51f5053ca262fb2d.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/59af51f5053ca262fb2d.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/59af51f5053ca262fb2d.jpg\" alt=\"\" class=\"uag-image-6771\" width=\"2047\" height=\"1365\" title=\"59af51f5053ca262fb2d\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-0bdafe28 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/2177d96e8ea729f970b6.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/2177d96e8ea729f970b6.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/2177d96e8ea729f970b6.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/2177d96e8ea729f970b6.jpg\" alt=\"\" class=\"uag-image-6773\" width=\"2047\" height=\"1365\" title=\"2177d96e8ea729f970b6\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-382823ee wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/c22a79462f8f88d1d19e.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/c22a79462f8f88d1d19e.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/c22a79462f8f88d1d19e.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2022\/05\/c22a79462f8f88d1d19e.jpg\" alt=\"\" class=\"uag-image-6774\" width=\"2048\" height=\"1365\" title=\"c22a79462f8f88d1d19e\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u01b0\u1edfng khoa\/ph\u00f2ng: BS CK2 NGUY\u1ec4N TRUNG C\u01af\u1edcNG Nh\u00e2n s\u1ef1: Khoa G\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f3 t\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean l\u00e0 150 &#8211; 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