临床麻醉学 英文版PDF|Epub|txt|kindle电子书版本下载

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1.The Practice of Anesthesiology1

Case Discussion:Medical Malpractice10

Ⅰ．ANESTHESIC EQUIPMENT＆MONITORS15

2.The Operating Room:Medical Gas Systems,Environmental Factors,＆Electrical Safety15

Case Discussion:Checking Out the Medical Gas System in a New Operating Room25

3.Breathing Systems27

Case Discussion:Unexplained Light Anesthesia37

4.The Anesthesia Machine40

Case Discussion:Detection of a Leak56

5.Airway Management59

Profiles in Anesthetic Practice:Laryngospasm:A Continuing Problem&C.Philip Larson,Jr.,MDCM,MA78

Case Discussion:Evaluation＆Management of a Difficult Airway80

6.Patient Monitors86

Profiles in Anesthetic Practice:If There Were Only One Monitor&Wendell C.Stevens,MD94

Profiles in Anesthetic Practice:Application of the Basic Physical Examination to Intraoperative Monitoring&John R.Moyers,MD118

Case Discussion:Monitoring During Magnetic Resonance Imaging123

Ⅱ．CLINICAL PHARMACOLOGY127

7.Inhalational Anesthetics127

Case Discussion:Closed-circuit Anesthesia146

8.Nonvolatile Anesthetic Agents151

Profiles in Anesthetic Practice:Rational Administration of Intravenous Anesthesia&J.G.Reves,MD162

Case Discussion:Premedication of the Surgical Patient175

9.Neuromuscular Blocking Agents178

Profiles in Anesthetic Practice:A Current Practice of Relaxation&John J.Savarese,MD192

Case Discussion:Delayed Recovery from General Anesthesia197

10.Cholinesterase Inhibitors199

Case Discussion:Respiratory Failure in the Recovery Room205

11.Anticholinergic Drugs207

Case Discussion:Central Anticholinergic Syndrome210

12.Adrenergic Agonists＆Antagonists212

Case Discussion:Pheochromocytoma222

13.Hypotensive Agents224

Case Discussion:Controlled Hypotension231

14.Local Anesthetics233

Case Discussion:Local Anesthetic Overdose240

15.Adjuncts to Anesthesia242

Case Discussion:Management of Patients at Risk for Aspiration Pneumonia250

Ⅲ．REGIONAL ANESTHESIA＆PAIN MANAGEMENT253

16.Spinal,Epidural,＆Caudal Blocks&Wayne Kleinman,MD253

Case Discussion:Neuraxial Anesthetia for Lithotripsy280

17.Peripheral Nerve Blocks283

Case Discussion:Dyspnea Following Interscalene Block308

18.Pain Management309

Profiles in Anesthetic Practice:Should Patients Suffer Because Physicians Are Afraid?&Carl C.Hug,Jr.,MD,PhD344

Case Discussion:Analgesia Following Thoracoabdominal Surgery356

Ⅳ．PHYSIOLOGY,PATHOPHYSIOLOGY,＆ANESTHETIC MANAGEMENT359

19.Cardiovascular Physiology＆Anesthesia359

Case Discussion:A Patient with a Short P-R Interval381

20.Anesthesia for Patients with Cardiovascular Disease386

Case Discussion:Hip Fracture in an Elderly Woman Who Fell427

21.Anesthesia for Cardiovascular Surgery433

Case Discussion:A Patient for Cardioversion472

22.Respiratory Physiology＆Anesthesia475

Case Discussion:Unilaterally Diminished Breath Sounds during General Anesthesia509

23.Anesthesia for Patients with Respiratory Disease511

Case Discussion:Laparscopic Surgery522

24.Anesthesia for Thoracic Surgery525

Case Discussion:Mediastinal Adenopathy550

25.Neurophysiology＆Anesthesia552

Case Discussion:Postoperative Hemiplegia564

26.Anesthesia for Neurosurgery567

Profiles in Anesthetic Practice:Anesthesia for Neuronavigation&Robert F.Bedford,MD570

Case Discussion:Resection of a Pituitary Tumor581

27.Anesthesia for Patients with Neurologic＆Psychiatric Diseases583

Case Discussion:Anesthesia for Electroconvulsive Therapy594

28.Management of Patients with Fluid＆Electrolyte Disturbances597

Case Discussion:Electrolyte Abnormalities Following Urinary Diversion624

29.Fluid Management＆Transfusion626

Case Discussion:A Patient with Sickle Cell Disease640

30.Acid-Base Balance644

Case Discussion:A Complex Acid-Base Disturbance660

31.Renal Physiology＆Anesthesia662

Case Discussion:Intraoperative Oliguria677

32.Anesthesia for Patients with Renal Disease679

Case Discussion:A Patient with Uncontrolled Hypertension689

33.Anesthesia for Genitourinary Surgery692

Case Discussion:Hypotension in the Recovery Room705

34.Hepatic Physiology＆Anesthesia708

Case Discussion:Coagulopathy in a Patient with Liver Disease717

35.Anesthesia for Patients with Liver Disease723

Case Discussion:Liver Transplantation732

36.Anesthesia for Patients with Endocrine Disease736

Case Discussion:Multiple Endocrine Neoplasia750

37.Anesthesia for Patients with Neuromuscular Disease752

Case Discussion:Anesthesia for Muscle Biopsy759

38.Anesthesia for Ophthalmic Surgery761

Case Discussion:An Approach to a Patient with an Open Eye＆a Full Stomach768

39.Anesthesia for Otorhinolaryngologic Surgery771

Case Discussion:Bleeding Following Sinus Surgery779

40.Anesthesia for Orthopedic Surgery782

Case Discussion:Managing Blood Loss in Jehovah's Witnesses790

41.Anesthesia for the Trauma Patient793

Case Discussion:Anesthetic Management of the Burn Patient801

42.Maternal＆Fetal Physiology＆Anesthesia804

Case Discussion:Postpartum Tubal Ligation816

43.Obstetric Anesthesia819

Case Discussion:Appendicitis in a Pregnant Woman846

44.Pediatric Anesthesia849

Profiles in Anesthetic Practice:Heart Rate Response to Surgical Incision in Children&John F.Ryan,MD,MEd858

Case Discussion:Masseter Spasm＆Malignant Hyperthermia869

45.Geriatric Anesthesia875

Case Discussion:The Elderly Patient with a Fractured Hip880

46.Outpatient Anesthesia&Stuart Ackerman,MD882

Case Discussion:Monitored Anethesia Care for Eye Surgery886

Ⅴ．SPECIAL PROBLEMS889

47.Anesthetic Complications&Joseph T.Nitti,MD,＆Gary J.Nitti,MD889

Profiles in Anesthetic Practice:The Seated Position——Gone Forever?&M.Jane Matjasko,MD,＆Douglas G.Martz,MD894

Case Discussion:Unexplained Intraoperative Tachycardia＆Hypertension909

48.Cardiopulmonary Resuscitation912

Profiles in Anesthetic Practice:Management of the Difficult Airway by Anesthesiologists&David J.Cullen,MD,MS914

Case Discussion:Intraoperative Hypotension＆Cardiac Arrest925

49.Postanesthesia Care936

Profiles in Anesthetic Practice:Routine Postoperative Suctioning:A Bad Idea&Frederic A.Berry,MD942

Case Discussion:Fever＆Tachycardia in a Young Adult Male947

50.Critical Care951

Case Discussion:An Obtunded Young Woman990

Index993