ICS 11.020 CCS C 05 45 广 西 壮 族 自 治 区 地 方 标 准 DB45/T 2933—2024 机器人辅助微创外科手术麻醉技术规范 Technical specification for anesthesia of robot-assisted minimally invasive surgery 2024 - 11 - 14发布 2025 - 02 - 01实施 广西壮族自治区市场监督管理局 发布 DB45/T 2933 —2024 I 目次 前言 ................................ ................................ ................ III 1 范围 ................................ ................................ ............... 1 2 规范性引用文件 ................................ ................................ ..... 1 3 术语和定义 ................................ ................................ ......... 1 4 缩略语 ................................ ................................ ............. 2 5 基本要求 ................................ ................................ ........... 2 麻醉人员配置 ................................ ................................ ... 2 环境要求 ................................ ................................ ....... 2 设备设施 ................................ ................................ ....... 2 场地布置 ................................ ................................ ....... 2 6 术前准备 ................................ ................................ ........... 2 术前访视 ................................ ................................ ....... 2 麻醉前沟通 ................................ ................................ ..... 3 麻醉方案制定 ................................ ................................ ... 4 麻醉药品准备 ................................ ................................ ... 4 术前用药 ................................ ................................ ....... 4 7 麻醉实施 ................................ ................................ ........... 4 建立外周静脉通道 ................................ ............................... 4 麻醉诱导 ................................ ................................ ....... 4 麻醉深度监测 ................................ ................................ ... 4 气管插管 ................................ ................................ ....... 4 手术体位 ................................ ................................ ....... 5 麻醉常规监测 ................................ ................................ ... 5 特殊监测 ................................ ................................ ....... 6 8 术中麻醉管理 ................................ ................................ ....... 6 麻醉维持 ................................ ................................ ....... 6 呼吸管理 ................................ ................................ ....... 6 循环管理 ................................ ................................ ....... 6 9 术后麻醉管理 ................................ ................................ ....... 6 麻醉复苏 ................................ ................................ ....... 6 常见并发症及处理 ................................ ............................... 7 10 术后随访与处理 ................................ ................................ .... 7 随访时间 ................................ ................................ ...... 7 随访内容 ................................ ................................ ...... 7 处理 ................................ ................................ .......... 7 DB45/T 2933 —2024 II 附录A（资料性） ASA分级 ................................ .............................. 9 附录B（资料性） Steward苏醒评分表 ................................ ................... 10 附录C（资料性） 术后静脉镇痛泵 48 h常用配方 ................................ .......... 11 参考文献 ................................ ................................ .............. 12