麻醉学【2025|PDF|Epub|mobi|kindle电子书版本百度云盘下载】

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SECTION ONE:PHARMACOLOGY OF ANESTHESIA1

Chapter 1:Inhalation Agents2

Basic Pharmacologic Principles2

Specific Agents2

Chapter 2:Induction Agents4

-Barbiturates4

-Propofol5

-Etomidate5

-Benzodiazepines5

-Ketamine5

Chapter 3:Neuromuscular Blockers7

-Anatomy7

-The Neuromuscular Junction7

-Neuromuscular Blockers7

-Reversing Neuromuscular Blockers8

Chapter 4:Opioids9

-Opioid Receptors9

-Clinical Effects9

-Administration9

Chapter 5:Local Anesthetics10

-Chemistry10

-Mechanism of Action10

-Properties That Affect the Action of Local Anesthes11

-Toxicity11

-Maximum Recommended Dose11

Chapter 6:Medications That Affect Blood Pressure12

-Drugs That Increase Blood Pressure12

-Drugs That Decrease Blood Pressure12

-Drugs That Increase Heart Rate13

SECTION TWO:PREOPERATIVE PREPARATION15

Chapter 7:Preoperative Evaluation16

Chapter 8:The Anesthesia Machine and Monitors17

The Anesthesia Machine17

-Breathing Systems:The Circle System18

-Safety Mechanisms18

Monitors18

Chapter 9:Airway Anatomy and Management20

Anatomy20

Management21

-Percutaneous Needle Cricothyroidotomy22

-Rapid-Sequence Induction23

Intubation Failure:What Next?23

Chapter 10:Spinal and Epidural Anesthesia24

-Anatomy24

-Technique24

-Complications25

-Advantages25

Chapter 11:Regional Anesthesia26

-Anatomy26

-Technique27

-Neural Trauma27

SECTION THREE:INTRAOPERATIVE CONSIDERATIONS FOR ANESTHESIA29

Chapter 12:Anesthesia and the Cardiac System30

Effects of Anesthetics on the Heart30

Anesthesia in Noncardiac Surgery30

Anesthesia in Cardiovascular Surgery31

-Cardiopulmonary Bypass31

-Valvular Heart Disease31

-Transesophageal Echocardiography31

Chapter 13:Anesthesia and the Respiratory System32

Effects of Anesthetics on Ventilation33

One-Lung Ventilation33

Chapter 14:Anesthesia and the Neurologic System34

-Cerebral Blood Flow34

-Intracranial Pressure34

-Goals of Neurosurgical Anesthesia35

-Special Monitors Used During Neurosurgery35

Chapter 15:Anesthesia and the Gastrointestinal System36

-Anatomy and Physiology36

Effect of General Anesthetics on the Gastrointestinal System36

-Gastric Aspiration36

-Gastrointestinal Function37

Chapter 16:Anesthesia and the Hematologic System38

-Red Blood Cells38

-Coagulation39

Chapter 17:Anesthesia and Infectious Disease41

-Transmission of Disease from Patient to Patient41

-Transmission of Disease from Patient to Anesthesiologist41

-Transmission of Disease from Anesthesiologist to Patient42

-Patients at Risk of Infection42

Chapter 18:Anesthesia and the Renal System43

Effect of Anesthetics on Renal Function43

-Patients with Normal Renal Function43

-Patients with Impaired Renal Function44

Anesthesia in Urologic Procedures45

Chapter 19:Anesthesia Outside the Operating Room46

-Special Considerations in the Magnetic Resonance Imaging Suite46

-Office-Based Anesthesia46

-Interventional Neuroradiology46

Chapter 20:Obstetric Anesthesia47

-Anatomy and Physiology47

-Regional Anesthesia for Labor Pain47

-Anesthesia for Cesarean Section48

-Common Obstetric Complications and Anesthetic Management49

Chapter 21:Pediatric Anesthesia50

-Anatomy and Physiology50

-Anesthetic Management50

-Anesthetic Considerations51

Chapter 22:Malignant Hyperthermia52

SECTION FOUR:POSTOPERATIVE MANAGEMENT OF THE SURGICAL PATIENT53

Chapter 23:Critical Care Medicine54

-Sepsis54

-Mechanical Ventilation54

-Shock54

-Nutrition54

Chapter 24:Issues in the Post-Anesthesia Care Unit(PACU)56

Problems in the Post-Anesthesia Care Unit56

Chapter 25:Pain Management58

-Anatomy and Physiology58

-Control of Postoperative Pain59

Chapter 26:Patient Safety61

-Anesthesia Standards61

-Risks of Anesthesia61

Appendix A:Opportunities in Anesthesiology63

Appendix B:Review Questions and Answers64

Appendix C:Commonly Used Formulas in Anesthesiology69

Appendix D:Commonly Performed Procedures in Anesthesia70

第一篇　麻醉药理学73

第1章　吸入麻醉药74

药理学基本原理74

常用药物74

第2章　静脉麻醉诱导药76

巴比妥类76

丙泊酚77

依托咪酯77

苯二氮？类77

氯胺酮77

第3章　神经肌肉阻滞剂（肌肉松弛药）78

解剖学78

神经肌肉接头78

肌松药78

肌松剂拮抗剂79

第4章　阿片类药物80

阿片受体80

临床药理效应80

药物管理81

第5章　局部麻醉药82

局麻药化学结构特点82

药物作用机制83

影响局麻药作用机制的因素83

毒性反应83

最高推荐剂量83

第6章　影响血压的药物84

升压药84

降压药84

增快心率的药物85

第二篇　术前准备87

第7章　术前评价88

第8章　麻醉机和监护仪90

麻醉机90

通气系统：回路循环91

安全机制91

监护仪91

第9章　气道解剖和管理93

解剖93

气道管理94

经皮环甲膜穿刺术95

快速顺序诱导95

插管失败怎么办？95

第10章　蛛网膜下腔麻醉和硬膜外麻醉96

解剖96

操作技术96

并发症97

优点97

第11章　区域麻醉98

解剖98

操作技术99

神经损伤99

第三篇　手术期间的麻醉准备101

第12章　麻醉与心脏系统102

麻醉对心脏的影响102

心血管患者在非心脏外科手术中的麻醉102

心血管手术中的麻醉102

心肺转流术102

心脏瓣膜病103

经食道心动超声103

第13章　麻醉与呼吸系统104

麻醉药对通气的影响104

单肺通气105

第14章　麻醉与神经系统106

脑血流106

颅内压106

神经外科麻醉的目标107

外科手术过程中的特殊监测107

第15章　麻醉与胃肠道系统108

解剖与生理108

全身麻醉对胃肠道系统的影响108

胃内容物误吸108

胃肠功能109

第16章　麻醉与血液系统110

红细胞110

凝血111

第17章　麻醉与感染性疾病113

疾病从患者传染给患者113

疾病从患者传染给麻醉医生113

疾病从麻醉医生传染给患者114

易被感染的高危患者114

第18章　麻醉与肾脏系统115

麻醉对肾功的影响115

肾功正常的患者115

肾功损害患者115

泌尿科手术的麻醉116

第19章　手术室外的麻醉118

在MRI室麻醉的特殊考虑118

诊疗室麻醉118

介入神经放射学118

第20章　产科麻醉119

解剖与生理119

区域麻醉在分娩痛中的作用120

剖宫产术的麻醉120

常见产科并发症和麻醉药的使用121

第21章　儿科麻醉122

解剖与生理122

麻醉管理122

麻醉剂的使用123

第22章　恶性高热124

第四篇　外科患者的术后管理125

第23章　危重病医学126

脓毒症126

机械通气126

休克126

营养126

第24章　麻醉后监护病房中的有关事宜127

PACU中的若干问题127

第25章　疼痛治疗129

解剖和生理129

术后疼痛的控制130

第26章　患者安全131

麻醉标准131

麻醉的风险131

附录A　麻醉专业的就业机会133

附录B　问题及答案134

附录C　麻醉学常用公式140

附录D　麻醉学常用操作技术141

推荐读物143

英中文名词对照表144