Ulteriori informazioni
This book has a twofold purpose, first to provide information for beginners about the pitalls and hazards of anaesthesia and second to help the occasional anaesthetist in remote areas when confronted with requests to anaesthetise for unfamiliar surgical operations. The book is not intended to replace any standard text for anaesthetic examinations, and indeed, its lack of information about basic sciences makes it unsuitable for such a purpose. The contents can be regarded as a distillate of 45 years of practical anaesthesia, in both primitive and sophisticated conditions, from the ether and chloroform rag and bottle days onwards through cyclopropane, trichloroethylene, relaxants and lytic cocktails to halothane. The only operation mentioned of which I have no practical experience is thymectomy and removal of an argentaffinoma. I have never knowingly encountered malignant hyperpyrexia, but had one experience of what we called ether convulsions with hyperpyrexia, which could have been, and probably was, the same thing. An attempt has been made to arrange the book in four logical sections. It begins with the hazards of preparation-assessment of risks to patients particularly, but Part I also includes chapters on medicolegal and occupational hazards to anaesthetists.
Sommario
I Pre-operative Assessment, Medicolegal and Occupational Hazards.- 1 General Considerations.- 2 Cardiovascular Disease.- 3 Respiratory Disease.- 4 Haematological Disorders.- 5 Muscular Disorders.- 6 Other Intercurrent Diseases.- 7 Adverse Reactions Due to Drug Therapy.- 8 Medicolegal Hazards.- 9 Occupational Hazards.- II Considerations Relevant to All Procedures.- 10 Preparation and Use of Anaesthetic Apparatus.- 11 Fires, Explosions and Electric Shock.- 12 Induction.- 13 Muscle Relaxants.- 14 Endotracheal Intubation.- 15 Positioning Patients for Surgery.- 16 Maintenance of Anaesthesia.- 17 Local Analgesia.- 18 Cardiovascular Hazards.- 19 Controlled Hypotension.- 20 Intravenous Therapy and Central Venous Pressure Lines.- 21 Blood Transfusion.- 22 Recovery.- 23 Cardiac Arrest.- 24 Intensive Care.- III Emergency Surgery.- 25 Stomach Content.- 26 Shock: Vascular Responses to Injury, Haemorrhage and Infection.- 27 Disturbances of Fluid, Electrolytes and Acid-Base Balance.- 28 Common Emergency Procedures.- IV Individual Types of Procedure.- 29 Abdominal Surgery.- 30 Gynaecological Surgery.- 31 Operative Obstetrics.- 32 Urological Surgery.- 33 Orthopaedic Surgery.- 34 Neurosurgery.- 35 Ear, Nose and Throat and Maxillofacial Surgery.- 36 Paediatric Surgery.- 37 Dental Surgery.- 38 Ophthalmic Surgery.- 39 Burns.- 40 Thoracic Surgery.- 41 Vascular Surgery.- 42 Miscellaneous Surgical Procedures.- 43 Endoscopy.- 44 Radiological Departments.- 45 Cardiac Departments.- 46 Day Surgery.- Selective Bibliography.
Riassunto
This book has a twofold purpose, first to provide information for beginners about the pitalls and hazards of anaesthesia and second to help the occasional anaesthetist in remote areas when confronted with requests to anaesthetise for unfamiliar surgical operations. The book is not intended to replace any standard text for anaesthetic examinations, and indeed, its lack of information about basic sciences makes it unsuitable for such a purpose. The contents can be regarded as a distillate of 45 years of practical anaesthesia, in both primitive and sophisticated conditions, from the ether and chloroform rag and bottle days onwards through cyclopropane, trichloroethylene, relaxants and lytic cocktails to halothane. The only operation mentioned of which I have no practical experience is thymectomy and removal of an argentaffinoma. I have never knowingly encountered malignant hyperpyrexia, but had one experience of what we called ether convulsions with hyperpyrexia, which could have been, and probably was, the same thing. An attempt has been made to arrange the book in four logical sections. It begins with the hazards of preparation-assessment of risks to patients particularly, but Part I also includes chapters on medicolegal and occupational hazards to anaesthetists.
