麻醉学 留学生与双语教学用 英文版PDF电子书下载

Chapter 1 Introduction 1

1 History of anesthesiology 2

2 The scope of anesthesiology 6

3 Classification of anesthesia 9

4 How to learnanesthesiology well 11

Suggested Reading 12

Chapter 2 Evaluation before Anesthesia 13

1 History 13

2 The physical examination 16

3 Laboratory studies 17

4 Anesthesiologist-patient relationship 18

5 Premedication 20

6 Delaying surgical procedures 21

Suggested Reading 22

Chapter 3 Anesthesia Monitoring 23

1 Standard monitoring 23

2 Respiratory system monitoring 23

3 Cardiovascular system monitoring 29

4 Depth of anesthesia 41

5 Neuromuscular blockade monitoring 43

6 Temperature monitoring 45

Suggested Reading 45

Chapter 4 Local Anesthetics and Regional Anesthesia 46

1 Local anesthetics 46

2 Anatomy and physiology 49

3 Nerve block 54

4 Spinal anesthesia 59

5 Epidural anesthesia 61

6 Combined spinal and epidural anesthesia 64

7 Caudal anesthesia 64

8 Complications of neuraxial blocks 65

Suggested Reading 66

Chapter 5 Airway Evaluation and Management 69

1 Anatomy 69

2 Evaluation of airway 69

3 Equipment 71

4 Airway management 76

Suggested Reading 79

Chapter 6 General Anesthesia 80

1 Anesthetics for general anesthesia 80

2 Administration of general anesthesia 95

3 Complications of general anesthesia 103

Suggested Reading 107

Chapter 7 Acid-Base Balance and Fluid Therapy 108

1 Regulation of fluid and electrolytes 109

2 Fluid therapy 121

Suggested Reading 123

Chapter 8 The Postanesthesia Care Unit 124

1 Admission to the PACU 124

2 Monitoring 124

3 Complications 124

4 Recovery from regional anesthesia 142

5 Criteria for discharge 142

Suggested Reading 143

Chapter 9 Perioperative Acute Respiratory Failure and Acute Lung Injury(ALI)/Acute Respiratory Distress Syndrome(ARDS) 144

1 Perioperative respiratory failure 145

2 Acute respiratory distress syndrome 155

Suggested Reading 164

Chapter 10 Shock 165

1 Introduction 165

2 Classification of shock 166

3 Pathophysiology of shock 168

4 Diagnosis and management of shock 173

5 Patient monitoring 177

6 Treatment 184

7 Specific shock syndromes 191

Suggested Reading 192

Chapter 11 Cardiopulmonary Resuscitation 195

1 Definition and causes of cardiac arrest 195

2 Cardiopulmonary resuscitation(CPR) 197

3 Post resuscitation care 208

4 Prognostication following cardiopulmonary cerebral resuscitation 211

Suggested Reading 211

Chapter 12 Nutritional Aspects 212

1 Fasting and malnutrition 212

2 Metabolic response to surgical and traumatic injury 212

3 The metabolic response to sepsis 214

4 Modulation of the stress response(during anesthesia) 215

5 Nutritional support 218

6 Special consideration 220

Suggested Reading 223

Chapter 13 Pain Management 224

1 Definition of pain 224

2 Neural basis of pain 224

3 Classification of pain 229

4 Pain assessment 231

5 Pain therapy 235

Suggested Reading 239

Appendix 241

Appendix Ⅰ：Inhaled anaesthetic agents-Physical properties 241

Appendix Ⅱa：Cardiovascular system-normal values 241

Appendix Ⅱb：Vasoactive infusions 243

Appendix Ⅲ：Chemical pathology-biochemical values 244

Appendix Ⅳa：Haematology normal values 245

Appendix Ⅳb：Coagulation tests 246

Appendix Ⅳc：Coagulation screen 247

Appendix Ⅴa：Fluid balance 248

Appendix Ⅴb：Intraoperative fluid requirements-adult 248

Appendix Ⅴc：Fluid,electrolyte and nutritional requirements 249

Appendix Ⅴd：Composition of common intravenous fluids 249

Appendix Ⅵ：Renal function tests 250

Appendix Ⅶa：Pulmonary function tests 251

Appendix Ⅶb：Lung function：adult and neonatal values 252

Appendix Ⅷ：Paediatrics 252

Appendix Ⅸ：Gas flows in ananesthetic breathing systems 253