By Ronald D. Miller MD, Lars I. Eriksson, Lee A. Fleisher MD, Jeanine P. Wiener-Kronish MD, William L. Young
From primary ideas to complicated subspecialty methods, Miller's Anesthesia covers the complete scope of latest anesthesia perform. it's the go-to reference for masterful advice at the technical, medical, and medical demanding situations you face. Now new chapters, new authors, meticulous updates, an elevated overseas presence, and a brand new full-color layout make sure that the seventh version keeps the culture of excellence that you just rely on. Plus, with professional seek advice performance, you should have easy accessibility to the complete textual content on-line at www.expertconsult.com.Includes entry to the full-text on-line for handy referencing. Covers the total scope of up to date anesthesia perform in exactly volumes.Offers step by step directions for sufferer administration and an in-depth research of ancillary duties and problems.Incorporates 'Key issues' containers in each bankruptcy that spotlight very important concepts.Extends the breadth of foreign assurance with contributions from admired anesthesiologists from world wide, together with China, India, and Sweden. good points 30 new authors and thirteen new chapters akin to Sleep, reminiscence and cognizance; Perioperative Cognitive disorder; Ultrasound tips for nearby Anesthesia; Anesthesia for Correction of Cardiac Arrhythmias; Anesthesia for Bariatric surgical procedure; Prehospital Emergency and Trauma Care; severe Care Protocols; Neurocritical Care; and Renal alternative remedy. Dedicates a complete part to pediatric anesthesia, that can assist you deal with the original wishes of pediatric sufferers. provides a brand new full-color layout -- whole with greater than 1,500 full-color illustrations -- for more advantageous visible counsel. Your buy entitles you to entry the website until eventually the following version is released, or till the present variation is not any longer provided on the market through Elsevier, whichever happens first. If the following version is released under twelve months after your buy, you may be entitled to on-line entry for 365 days out of your date of buy. Elsevier reserves the perfect to supply an appropriate substitute product (such as a downloadable or CD-ROM-based digital model) should still entry to the website be discontinued.
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Extra resources for Miller's Anesthesia, 7th Edition
Because of its unique proconvulsive effect, methohexital is used as an anesthetic for electroshock therapy. There have been several attempts to replace the barbiturates with shorter-acting drugs that have less cardiovascular depression. Some of these drugs, such as althesin,221 propanidid, and eltanolone, were withdrawn from clinical use because of unwanted side effects. 222 Etomidate can cause undesirable myoclonic movements during induction in some patients. The benzodiazepines midazolam, diazepam, and lorazepam are useful intravenous agents that relieve anxiety without the same degree of sedation produced with the barbiturates.
Carbon Dioxide Absorption Anesthesiologists from the first half of the 20th century were not privileged to visit just one hospital during a day’s work. Visits to several institutions might take place in a single day, with the practitioners bringing their own delivery systems and drugs with Figure 1-15 Alfred Coleman’s economizing device. The anesthetic gases entered the lower bag and passed into the upper bag through a one-way valve. Gases were inhaled and exhaled through the tube (h) and passed over a lime container (1, 2) held in a frame (k) that eliminated carbon dioxide; c, gas inlet.
Alfentanil, sufentanil, and remifentanil have different pharmacokinetic profiles that make them suitable agents for selected procedures. 274 Increased understanding of opioid pharmacology has opened up a new role for anesthesiologists, including acute pain management. 275 The combination of opioids with tranquilizers such as phenothiazines and butyrophenones provides a form of anesthesia called neuroleptanesthesia, which was introduced by DeCastro and Mundeleer276 in 1959. Patients administered this form of anesthesia are immobile and tranquil and have stable hemodynamics, even during major surgical procedures.