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Oxford Handbook of Anaesthesia最新文献

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Ophthalmic surgery 眼科手术
Pub Date : 2021-11-01 DOI: 10.1093/med/9780198853053.003.0033
Peter B Williamson
This chapter discusses the anaesthetic management of ophthalmic surgery. It begins with a description of general principles, including anatomy and physiology of the globe and orbit, preoperative considerations of ophthalmology patients, and a discussion of different ocular block techniques. Surgical procedures covered include cataract extraction and intra-ocular lens (IOL) implantation; strabismus surgery; vitreo-retinal surgery; dacrocystorhinostomy (DCR), and repair of penetrating eye injuries.
本章讨论眼科手术的麻醉管理。它首先描述了一般原理,包括眼球和眼眶的解剖学和生理学,眼科患者的术前注意事项,并讨论了不同的眼阻滞技术。手术程序包括白内障摘除和人工晶状体植入术;斜视手术;vitreo-retinal手术;大囊鼻造口术(DCR)和眼穿透性损伤的修复。
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引用次数: 0
Cardiovascular disease 心血管病。
Pub Date : 2021-11-01 DOI: 10.1093/med/9780198853053.003.0005
Sonja Payne, J. Ip, G. Martínez, Tom Jackson
This chapter describes the anaesthetic management of the patient with cardiovascular disease. The topics include ischaemic heart disease (including perioperative myocardial infarction and percutaneous coronary intervention), valvular heart disease (incuding prosthetic valves), congenital heart disease, cardiomyopathy, pericardial disease, the patient with a transplanted heart, narrow complex arrhythmias, broad complex arrhythmias and heart block. For each topic, pre-operative investigation and optimisation, treatment, and anaesthetic management are described including peri-operative management of pre-existing arrhythmias (such as atrial fibrillation), and the patient with an implanted pacemaker or defibrillator.
本章描述心血管疾病患者的麻醉管理。主题包括缺血性心脏病(包括围手术期心肌梗死和经皮冠状动脉介入治疗)、瓣膜性心脏病(包括假瓣膜)、先天性心脏病、心肌病、心包疾病、移植心脏患者、狭窄复杂心律失常、广泛复杂心律失常和心脏传导阻滞。对于每个主题,术前调查和优化、治疗和麻醉管理都被描述,包括术前已存在的心律失常(如心房颤动)的围手术期管理,以及植入起搏器或除颤器的患者。
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引用次数: 0
Specific circumstances 具体情况
Pub Date : 2021-11-01 DOI: 10.1093/med/9780198853053.003.0018
M. Evans, Leigh Kelligher, S. Ritchie-McLean, J. Mathiszig-Lee, M. Stocker, Laura Bainbridge
This chapter brings together a series of small but important topics relevant to the practice of anaesthesia. First, the oncological impact of anaesthesia is explored. Next, the specific circumstances of anaesthesia for laser surgery are discussed. The third topic is robotic-assisted surgery. The fourth is anaesthesia for day-case surgery. The next two topics are the neurological determination of death, and organ donation surgery. The chapter closes with a discussion of how to handle a major anaesthetic mishap.
本章汇集了一系列与麻醉实践相关的小而重要的主题。首先,探讨了麻醉对肿瘤的影响。接下来,讨论激光手术麻醉的具体情况。第三个主题是机器人辅助手术。第四种是日常手术的麻醉。接下来的两个主题是死亡的神经决定和器官捐赠手术。本章最后讨论了如何处理重大麻醉事故。
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引用次数: 0
Bariatric surgery 减肥手术
Pub Date : 2021-11-01 DOI: 10.1093/med/9780198853053.003.0026
N. Kennedy, Katherine Reeve
This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery; risk scoring; indications for when obesity surgery should be offered. Surgical procedures covered include intragastric balloon insertion and removal; gastric banding; gastric bypass, and sleeve gastrectomy.
本章讨论肥胖手术(减肥手术)的麻醉管理。它首先介绍了肥胖手术;风险评分;何时应该进行肥胖手术的指征。涵盖的外科手术包括胃内球囊插入和取出;胃带;胃旁路术和袖式胃切除术。
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引用次数: 0
Paediatric and neonatal anaesthesia 儿科和新生儿麻醉
Pub Date : 2015-12-01 DOI: 10.1093/MED/9780198719410.003.0034
S. Berg
This chapter discusses the anaesthetic management of the neonate, infant and child. It begins with a description of neonatal physiology, then discusses fluid management, anaesthetic equipment and the conduct of anaesthesia in children, including postoperative analgesia. Regional anaesthetic techniques in children are discussed, including caudal, epidural, spinal and regional nerve blocks. Surgical procedures covered include repair of diaphragmatic hernia; gastroschisis/exomphalos; tracheo-oesophageal fistula (TOF); patent ductus arteriosus (PDA); pyloric stenosis; intussusception; herniotomy; circumcision; hypospadias repair; orchidopexy; cleft lip and palate; congenital talipes equinovarus (CTEV); femoral osteotomy, and inhaled foreign body. It includes a discussion of paediatric sedation, paediatric medical problems, paediatric advanced life support, resuscitation of the neonate, the collapsed septic child, stabilisation of the critically ill child, and paediatric drug doses and equipment.
本章讨论了新生儿、婴儿和儿童的麻醉管理。它从新生儿生理学的描述开始,然后讨论液体管理、麻醉设备和儿童麻醉的行为,包括术后镇痛。讨论了儿童区域麻醉技术,包括尾侧、硬膜外、脊髓和区域神经阻滞。外科手术包括膈疝修复;腹裂/脐突出;气管食管瘘(TOF);动脉导管未闭(PDA);幽门狭窄;肠套叠;疝切开术;包皮环切术;尿道下裂修复;睾丸固定术;唇腭裂;先天性马蹄内翻(CTEV);股骨截骨,并吸入异物。它包括对儿科镇静、儿科医学问题、儿科高级生命支持、新生儿复苏、败血症患儿晕倒、危重患儿稳定以及儿科药物剂量和设备的讨论。
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引用次数: 0
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