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國外好像早就有用high thoracic epidural anesthesia來麻off-pump CABG的例子。
上次和大陸的麻醫聊天,才知道為了減少醫療成本,他們會用cervical plexus block加
IV sedation來麻radical neck dissection。
全身麻醉發展到今天,就技術面而言似乎已經很純熟了,一根管子插下去,麻藥打開,麻醫就
可以拍拍屁股閃人了,也不用聽外科醫師在那碎碎念:「為什麼麻這麼久還沒好。」「下刀了
,為什麼病人還會痛?」,不過也因為全麻太方便了(對分身乏術的麻醫有好處。)給付又高
(對醫院有好處),在台灣好像變的沒什麼麻醫喜歡去鑽研regional anesthesia或nerve
block的功夫,有些可惜。

錯了,那張照片全部都是外科醫師....

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