麻醉科

暨南大学附属第一医院（广州华侨医院）麻醉科，拥有20间住院部手术室、16张麻醉恢复床。全部手术间配套高端麻醉设备，包括：进口高端麻醉工作站、高端多功能进口麻醉机、呼吸机、高频通气呼吸机、多功能监护仪、持续血流动力学监护仪、呼气末气体监测仪器、心电图仪器、除颤仪、肌松监测仪、神经刺激仪、进口高清纤维支气管镜、可视喉镜、进口雷杜血气分析仪、自体血液回收机、静脉靶控输注设备、微量静脉输注泵、高端彩色B超级、麻醉深度监护仪、BIS监护仪器、体外循环机、进口高端变温仪。专业人员：主任医师5人、教授2人、副教授6人、主治医师22人、住院医师13人，麻醉护士10人。其中博士生导师2人、硕士生导师5人。团队任职：广东省麻醉学会副主任委员、广东省医师协会常委，广东省疼痛学会常委，广东省麻醉学会妇儿学组组长，广东省麻醉与复苏学组副组长。承担的临床工作：（1）各类、各种手术的麻醉、重症病患者手术的麻醉。（2）危重症患者急救、心肺复苏。（3）疼痛治疗、术后镇痛。（4）围手术期患者的心肌保护、脑保护等器官保护。（5）围术期患者呼吸功能不全的呼吸治疗。（6）围手术期患者的心功能维护。（7）日间手术的麻醉、快通道麻醉技术（8）无痛人流、无痛胃镜、无痛肠镜、无痛分娩、无痛纤维支气管镜等无痛系列的舒适医疗。（9）脑功能区手术的麻醉：术中唤醒麻醉技术、清醒镇痛技术（10）可视化麻醉技术、精细麻醉技术（11）血液保护：自体血液会输技术疼痛门诊介绍除手术室的临床麻醉工作外，1999年麻醉科开设了疼痛专科门诊，收治了国内外大量疼痛病人，获得了良好的治疗效果，取得了较好的社会效益与经济效益。以为民除痛,提高患者生活质量为宗旨，疼痛门诊在吸取国内外先进医疗技术和认真总结自己实践经验的基础上，已初步形成了独具特色的一整套疼痛病症的诊疗原则。其独特性在于应用有效的、综合治疗方法的能力和经验，例如我们采用安全、快速的综合治疗方法治疗严重冻结肩15天，80%左右的严重冻结肩患者的疼痛可消除，肩关节功能活动可恢复正常。我们对每位患者进行个体化治疗，采用最新的仪器设备和不断创新的方法进行诊断和治疗，给患者提供可选择的多种治疗方法。只要你来疼痛门诊，无论你患何种急慢性疼痛，你一定会受益非浅。疼痛门诊诊疗范围1.头面部疼痛：三叉神经痛、枕神经痛、颞颌关节痛、偏头痛、面肌痉挛2.颈、肩、上肢痛：颈椎痛、肩周炎、后颈部肌筋膜综合症、落枕、、肩颈综合症、肱骨内、外上髁炎、腕管综合症、滑囊炎、腱鞘炎3.胸背部痛：肋间神经痛、胸背肌筋膜综合症、胸椎小关节紊乱综合症4.腰骶、下肢痛：急性腰扭伤、坐骨神经痛、腰椎间盘突出症、腰椎小关节紊乱综合症、第三腰椎横突综合症、腰肌劳损、非特异性腰痛、梨状肌综合症、尾痛症、跖痛症、跟痛症5.慢性关节痛：膝关节软组织损伤、骨性关节痛、痛风性关节炎、强直性脊柱炎6.植物神经反射性疼痛：幻肢痛、断肢痛7.带状疱疹后遗神经痛8.癌性疼痛治疗：主要为晚期癌性疼痛9.失眠多梦10.其他疼痛：骨质疏松症、压缩性骨折疼痛门诊主要技术项目神经阻滞及其它注射疗法该法是将以特殊配置的消炎镇痛液注入颅神经、脊神经、交感神经的根、干、丛、神经节及疼痛局部，起到阻断疼痛的传导，解除肌肉痉挛，阻断疼痛的恶性循环，扩张血管，改善病变部位血供及消除炎症的作用。简言之，本法是："用最需要的药物，以最快的速度（方法），送到最需要的地方"，集中优势药力"打歼灭和快速战"，达到"雪中送炭"的要求，这就是为什么本方法能取得快速和满意疗效的原因。常用的有硬膜外类固醇注射。射频热凝治疗射频热凝治疗是一种简单的非手术治疗方法。操作类似神经阻滞，其疗效可持续一年。病人自控镇痛疗法（PCA）PCA是一种近年来采用微电脑控制给药泵，持久续将镇痛制性的注入静脉或神经根处，用于晚期癌症，顽固性疼痛治疗，镇痛效果确切，优点是用药科学、安全、使用方便，病人在一定程度上可自我控制给药，可留置导管进行长期而持续性的镇痛治疗。药物治疗常用于疼痛治疗的药物主要有以下几类：阿片类药物：主要用于急性疼痛、晚期癌痛，有时也用于慢性疼痛患者。抗炎药物：减少炎性反应，减轻疼痛。抗抑郁药物：可减轻一定类型的疼痛，也可改善患者夜间睡眠。膜稳定药物。其他疗法超激光治疗;汽化药热疗;经皮电刺激;进步评估。联系方式电话：麻醉科办公室020-38688200疼痛门诊:020-38688111邮编：510630地址：广州市黄埔大道西613号承担的教学工作：（1）本科生教学：开展《麻醉治疗学》本科课程、《麻醉学》课程（2）麻醉学本科临床实践教学（3）硕士研究生《麻醉学》教学（4）硕士研究生《麻醉学》临床实践教学（5）博士研究生《麻醉学进展》课程（6）博士研究生、硕士研究生科研培养团队的研究方向：（1）危重病患者手术的麻醉（2）心血管手术的麻醉（3）围术期器官保护（4）慢性疼痛治疗（5）围术期的脑保护承担课题：国家自然科学基金、省自然科学基金、广东省科技计划项目、广州市科技计划项目、广东省医学科学基金等多项科研基金IntroductionofdepartmentofAnesthesiologyTheDepartmentofAnesthesiologyofTheFirstAffiliatedHospitalofJinanUniversity(GuangzhouOverseasHospital)isahighlyintegrated,collaborativegroupoftrainedandskilledanesthesiologists.Thedepartmentcomprisesmorethan40staffdoctors,10nurseanesthetists,whoarecommittedtoprovidingthebestpossiblecaretopatientsrequiringanesthesia,intensivecareandpainmanagement.Membersofthedepartmentalsoconductbasicandclinicalresearchandteachgraduate.ThemissionoftheDepartmentofAnesthesiaistoachieveexcellenceandinnovationintheareasofclinicalcare,teachingandresearch.ClinicalAnesthesiologyTheanesthesiologystaffprovidesclinicalanesthesiaserviceforthefullrangeofsurgicalprocedures.Ourclinicaldivisionsconsistof:GeneralSurgeryanesthesia,Urologyanesthesia,Thoracicanesthesia,Cardiovascularanesthesia,Transplantationanesthesia,Orthopedicsanesthesia,Obstetricsanesthesia,Pediatricsanesthesia,Ear,NoseandThroatSurgeryanesthesiaandpainmanagement.Wehaveacquiredstate-of-theartanesthesiaandmonitoringequipment..weadministeredanestheticstomorethan20000patientsyearly,andtherateofmobidityandcomplicationinanesthesiaisverylow.Inaddition,theDepartmentofAnesthesiaprovidespost-operativepaincontrolandpainmanagementforwomenduringinducedabortion,birthandthepostpartumperiodandendoscopicservices.PainManagementClinicYettheroleofanesthesiologistsinthedepartmentisnotlimitedtotheoperatingrooms.TheydirectthePainManagementClinicwhichwasestablishedonJun1999.Fromthenon,thousandsindividualswhosufferfromacuteandchronicdisablingpain.havebeentreatedandsocialeffectsaswellaseconomiceffectsareachieved.TheMissionatThePainManagementClinicistoenhancepatients"qualityoflifethroughadecreaseinpainandanimprovementintheabilitytoenjoydailyactivities.TheuniquenessandstrengthofthePainManagementClinicliesinitsabilityandexperienceinutilizingthemultidisciplinaryapproacheffectivelytobenefitthepatient.Forexample,wecanrelievethepainandrecovershoulderfunctionof80percentseverfrozenshoulderpatientsinabout15days.bysaferapidcombinedtherapy.Wetreateachpatientindividually,usingthelatestequipmentandvariousinnovativeprocedurestodiagnosepainanddeterminepatient’scareneeds.Thisapproachallowsustoofferpatientsthefullspectrumoftreatmentoptions.Whateverthesourceofyouracuteandchronicpain,youcanbenefitfromvisitingthePainManagementclinic.MainTypesofPainTreatedHeadacheandfacialpain：Trigeminalneuralgia.Painintheneck,shoulderandupperextremitiesincludingherniateddiscs,frozenshoulderandfibrositis.Chronicpaininthechest.Paininthelowback,hipsandlowerextremitiesincludingsciaticamuscle.Chronicpaininjoint.Reflexsympatheticdystrophypost-herpeticneuralgia.CancerPain.Sleepdisorder.PainassociatedwithosteoporosisandvertebralcompressionfracturesMaintechniquestomanagepain.include:NerveBlocksandotherinjectionstherapiesNerveblocksareusedtoachievepainsuppression.Anerveblockisaninjectionoflocalanestheticintoaregionofthespinalcolumn.Thisservestoblockanerveimpulsetoprovidepainrelief.Themostcommononeisepiduralsteroidinjections.TheseblocksincludeEpiduralblock,Selectivenerverootblock,Facetblock,Sacroiliacjointblock,Stellateganglionblock,Lumbarsympatheticblock,Peripheralnerveblocks,,Triggerpointinjection,Subcutaneousinfiltration,Intravenousregionalsympatheticblock.RadiofrequencyLesioningtherapyRadiofrequencylesioningisasimple,non-surgicalprocedure.Itisperformedlikeanerveblock.However,becauseitutilizescoagulationtechniqueswhenblockingthenerves,theeffectstypicallylastuptooneyear.Radiofrequencylesioningisusuallydoneoncethepatienthashadagoodresponsefromafacetnerveblock.Patient-ControlledAnalgesia(PCA)therapyThisapproachallowspatientstotriggerthereleaseofphysician-prescribeddosagesofintravenousmedication.Dosagesareadjustedasmedicationrequirementschangeduringthepostoperativeperiod.MedicalmanagementMedicalmanagementusedtotreatpainfallintoseveralmajorcategories:Opiate"painkillers"areoftenusedtotreatacutepainorcancer-relatedpain,andsometimesprescribedforchronicpain.Anti-inflammatorydrugsmaybehelpfulinalleviatingpainbyreducingswellingandirritation.Anti-depressantsmaybehelpfulinreducingcertaintypesofpain.Theymayalsobeusedtohelppatientssleepatnight.MembranestabilizersarehelpfulforsomepatientsinwhompainiscausedbyabnormalelectricaldischargesindamagednervesOtherTherapiesSuperLizertherapy.Pharmaco-aerothermotherapy.Transcutaneouselectricalnervestimulation(TENS).Measuringyourprogress.ContactInformationTelephone:DepartmentofAnesthesiology020-38688200PainManagementClinic020-38688111Postalservicecoding：510630Address：613HuangbuDadaoXi，GuangzhouCity,P.R.ChinaIfyouwouldlikefurtherinformation,pleasedonothesitatetocalltheDepartmentofAnesthesiology020-38688200andPainManagementClinicat020-38688111.