{"id":9252,"date":"2025-04-18T15:26:26","date_gmt":"2025-04-18T08:26:26","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=9252"},"modified":"2025-04-18T15:26:36","modified_gmt":"2025-04-18T08:26:36","slug":"thong-tin-suc-khoe-cho-nguoi-benh-ky-thuat-gay-te-mat-phang-co-rang-truoc-sapb-duoi-huong-dan-sieu-am-giam-dau-sau-phau-thuat","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=9252","title":{"rendered":"TH\u00d4NG TIN S\u1ee8C KH\u1eceE CHO NG\u01af\u1edcI B\u1ec6NH &#8211; K\u1ef8 THU\u1eacT G\u00c2Y T\u00ca M\u1eb6T PH\u1eb2NG C\u01a0 R\u0102NG TR\u01af\u1edaC (SAPB) D\u01af\u1edaI H\u01af\u1edaNG D\u1eaaN SI\u00caU \u00c2M GI\u1ea2M \u0110AU SAU PH\u1eaaU THU\u1eacT"},"content":{"rendered":"\n<p><strong>1. G\u00e2y t\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 r\u0103ng tr\u01b0\u1edbc l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<p>G\u00e2y t\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 r\u0103ng tr\u01b0\u1edbc (SAPB) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p g\u00e2y t\u00ea v\u00f9ng, trong \u0111\u00f3 thu\u1ed1c t\u00ea \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o m\u1eb7t ph\u1eb3ng gi\u1eefa c\u01a1 r\u0103ng tr\u01b0\u1edbc v\u00e0 c\u01a1 li\u00ean s\u01b0\u1eddn d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m. K\u1ef9 thu\u1eadt n\u00e0y gi\u00fap phong b\u1ebf c\u00e1c nh\u00e1nh th\u1ea7n kinh li\u00ean s\u01b0\u1eddn, mang l\u1ea1i hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt \u1edf v\u00f9ng ng\u1ef1c v\u00e0 th\u00e0nh ng\u1ef1c.<\/p>\n\n\n\n<p><strong>2. Khi n\u00e0o c\u1ea7n s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt n\u00e0y?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt ng\u1ef1c, nh\u01b0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf kh\u1ed1i u v\u00fa ho\u1eb7c l\u1ed3ng ng\u1ef1c.<\/li>\n\n\n\n<li>Ph\u1eabu thu\u1eadt th\u00e0nh ng\u1ef1c ho\u1eb7c li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng s\u01b0\u1eddn.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb \u0111au c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh \u1edf v\u00f9ng ng\u1ef1c.<\/li>\n\n\n\n<li>H\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au trong c\u00e1c th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n v\u00f9ng ng\u1ef1c.<\/li>\n<\/ul>\n\n\n\n<p><strong>3. Quy tr\u00ecnh th\u1ef1c hi\u1ec7n:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc th\u1ee7 thu\u1eadt:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c kh\u00e1m s\u1ee9c kh\u1ecfe, \u0111\u00e1nh gi\u00e1 ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft.<\/li>\n\n\n\n<li>\u0110\u01b0\u1ee3c gi\u1ea3i th\u00edch chi ti\u1ebft v\u1ec1 quy tr\u00ecnh v\u00e0 k\u00fd cam k\u1ebft \u0111\u1ed3ng \u00fd th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.<\/li>\n\n\n\n<li>H\u01b0\u1edbng d\u1eabn nh\u1ecbn \u0103n u\u1ed1ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Th\u1ef1c hi\u1ec7n g\u00e2y t\u00ea:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf th\u00edch h\u1ee3p, th\u01b0\u1eddng l\u00e0 n\u1eb1m nghi\u00eang ho\u1eb7c n\u1eb1m ng\u1eeda.<\/li>\n\n\n\n<li>V\u00f9ng ti\u00eam \u0111\u01b0\u1ee3c s\u00e1t khu\u1ea9n k\u1ef9 l\u01b0\u1ee1ng.<\/li>\n\n\n\n<li>B\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u01a1 r\u0103ng tr\u01b0\u1edbc.<\/li>\n\n\n\n<li>Kim \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o v\u1ecb tr\u00ed ch\u00ednh x\u00e1c.<\/li>\n\n\n\n<li>Ti\u00eam thu\u1ed1c t\u00ea v\u00e0o m\u1eb7t ph\u1eb3ng gi\u1eefa c\u00e1c c\u01a1 \u0111\u1ec3 phong b\u1ebf th\u1ea7n kinh li\u00ean s\u01b0\u1eddn.<\/li>\n\n\n\n<li>Theo d\u00f5i t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n trong v\u00e0 sau th\u1ee7 thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>4. Quy tr\u00ecnh G\u00e2y m\u00ea H\u1ed3i s\u1ee9c t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u00e1nh gi\u00e1 ti\u1ec1n m\u00ea: X\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t v\u00e0 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd.<\/li>\n\n\n\n<li>Gi\u1ea3i th\u00edch quy tr\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n\n\n\n<li>Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 g\u00e2y m\u00ea v\u00e0 thu\u1ed1c.<\/li>\n\n\n\n<li>Theo d\u00f5i ch\u1eb7t ch\u1ebd d\u1ea5u hi\u1ec7u sinh t\u1ed3n trong qu\u00e1 tr\u00ecnh g\u00e2y m\u00ea v\u00e0 ph\u1eabu thu\u1eadt.<\/li>\n\n\n\n<li>H\u1ed3i s\u1ee9c sau ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh v\u00e0 an to\u00e0n.<\/li>\n<\/ul>\n\n\n\n<p><strong>5. C\u1ea3m gi\u00e1c sau khi g\u00e2y t\u00ea:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>V\u00f9ng \u0111\u01b0\u1ee3c g\u00e2y t\u00ea s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c t\u00ea v\u00e0 gi\u1ea3m \u0111au r\u00f5 r\u1ec7t nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 c\u1eed \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng.<\/li>\n\n\n\n<li>Hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au k\u00e9o d\u00e0i trong nhi\u1ec1u gi\u1edd sau ph\u1eabu thu\u1eadt.<\/li>\n\n\n\n<li>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y t\u00ea nh\u1eb9 ho\u1eb7c ng\u1ee9a v\u00f9ng ti\u00eam trong th\u1eddi gian ng\u1eafn.<\/li>\n<\/ul>\n\n\n\n<p><strong>6. Bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ee5 m\u00e1u ho\u1eb7c nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7 ti\u00eam (hi\u1ebfm g\u1eb7p).<\/li>\n\n\n\n<li>\u0110au ho\u1eb7c b\u1ea7m t\u00edm t\u1ea1i v\u00f9ng ti\u00eam.<\/li>\n\n\n\n<li>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c t\u00ea (r\u1ea5t hi\u1ebfm).<\/li>\n\n\n\n<li>T\u00ea k\u00e9o d\u00e0i ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh (r\u1ea5t hi\u1ebfm).<\/li>\n<\/ul>\n\n\n\n<p><strong>7. Ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Theo d\u00f5i huy\u1ebft \u00e1p, nh\u1ecbp tim v\u00e0 m\u1ee9c \u0111\u1ed9 gi\u1ea3m \u0111au th\u01b0\u1eddng xuy\u00ean.<\/li>\n\n\n\n<li>Gi\u1eef v\u00f9ng ti\u00eam s\u1ea1ch s\u1ebd v\u00e0 tr\u00e1nh c\u1eed \u0111\u1ed9ng m\u1ea1nh.<\/li>\n\n\n\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c gi\u1ea3m \u0111au khi c\u1ea7n thi\u1ebft.<\/li>\n\n\n\n<li>Khuy\u1ebfn kh\u00edch v\u1eadn \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng.<\/li>\n<\/ul>\n\n\n\n<p><strong>8. L\u1eddi khuy\u00ean quan tr\u1ecdng:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e1o ngay cho nh\u00e2n vi\u00ean y t\u1ebf n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o nh\u01b0 \u0111au nh\u1ee9c, t\u00ea k\u00e9o d\u00e0i ho\u1eb7c kh\u00f3 th\u1edf.<\/li>\n\n\n\n<li>Tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 an to\u00e0n.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ngu\u1ed3n t\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Quy tr\u00ecnh G\u00e2y m\u00ea h\u1ed3i s\u1ee9c &#8211; B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/li>\n\n\n\n<li>https:\/\/www.nysora.com\/topics\/regional-anesthesia-for-specific-surgical-procedures\/thorax\/pectoralis-serratus-plane-blocks\/<\/li>\n<\/ul>\n\n\n\n<p><em>Hy v\u1ecdng th\u00f4ng tin n\u00e0y gi\u00fap ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 k\u1ef9 thu\u1eadt g\u00e2y t\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 r\u0103ng tr\u01b0\u1edbc v\u00e0 c\u1ea3m th\u1ea5y an t\u00e2m khi tr\u1ea3i qua qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n<p><em>Th\u00f4ng tin chi ti\u1ebft tham kh\u1ea3o t\u1ea1i <\/em><a href=\"http:\/\/www.bvndgiadinh.org.vn\"><em>www.bvndgiadinh.org.vn<\/em><\/a><em>.<\/em><\/p>\n\n\n\n<p class=\"has-text-align-right\">L\u01b0\u01a1ng To\u00e0n Ho\u00e0ng Long<\/p>\n\n\n\n<p class=\"has-text-align-right\">Ths BSCK2 G\u00e2y m\u00ea h\u1ed3i s\u1ee9c<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. G\u00e2y t\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 r\u0103ng tr\u01b0\u1edbc l\u00e0 g\u00ec? G\u00e2y t\u00ea m\u1eb7t ph\u1eb3ng c\u01a1 r\u0103ng tr\u01b0\u1edbc (SAPB) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p g\u00e2y t\u00ea v\u00f9ng, trong \u0111\u00f3 thu\u1ed1c t\u00ea \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o m\u1eb7t ph\u1eb3ng gi\u1eefa c\u01a1 r\u0103ng tr\u01b0\u1edbc v\u00e0 c\u01a1 li\u00ean s\u01b0\u1eddn d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m. K\u1ef9 thu\u1eadt n\u00e0y gi\u00fap phong b\u1ebf c\u00e1c 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