Expert airway management is an essential skill for an anesthesiologist. This chapter reviews the anatomy of the upper respiratory tract, describes the necessary equipment, presents techniques, and discusses complications of laryngoscopy, intubation, and extubation. Patient safety depends on a thorough understanding of each of these topics.
熟练的呼吸道管理是一个麻醉医师基本技能。本章将回顾上呼吸道解剖，描述必需的设备，介绍技术，并讨论喉镜窥视、气管插管和拔管的并发症。患者安全取决于对每一个主题的透彻的理解。
张力性气胸的表现是什么?
The performance of tension pneumothorax What is this?
"What are the signs of tension pneumothorax?" 会比较通顺.
胸膜腔内出现气体
Pleural cavity appears Gas
"Presence of airin the pleural cavity."
吸气压力增加
Suction pressure to increase
"Increase in inspiratory pressure"
其他的都译得很好.
Anesthesia based on ketamin during performance of a high-risk operations: advantages and disadvantage
氯.胺.酮麻醉在高风险手术优缺点
The eye is a very sensitive, highly innervated organ. Eye surgery requires sufficient depth of general anesthesia to prevent eye motion, coughing, straining, or hypertension.
眼睛是非常敏感的，具有丰富的神经支配的器官。眼科手术要求足够的麻醉深度以预防眼部运动，咳嗽，紧张，或高血压。
出处：Clinical Anesthesia Procedures of the Massachusetts General Hospital （6th edition）
The admission ECG showed a broad complex tachycardia. Atrio-ventricular dissociation was evident with negative QRS concordance across the chest leads, fusion beats were also visible. The presence of a left bundle branch block, superior axis morphology further supported a diagnosis of ventricular tachycardia originating from the apex of the right ventricle.
入院心电图显示复杂的宽QRS波心动过速。通过胸导联可以发现QRS波呈同向性负波，显而易见的房室分离，并可见融合波。左束支的存在以及前轴的形态进一步支持诊断，是源自右心室顶点的室性心动过速。
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he is essential to ask for assistance before anaesthetising patients who have been assessed as having potentially difficult airways.
术前评估存在潜在性困难气道的患者麻醉前寻求他人协助很有必要。
出处：How To Survive In Anaesthesia 3rd Ed Chapter 4 Failed intubation drill
有奖中英文一句话互译活动
A physician know everything but can do nothing; a surgeon can do everything but know nothing; only the anesthetist know everthing and can do everything!
内科医师什么都懂却什么都不能做；外科医师什么都能做但什么都不懂；只有麻醉医师什么都懂而且什么都能做！
An adrenergic drug, C9H13NO2, that is a powerful vasoconstrictor and is used to relieve nasal congestion, dilate the pupils, and maintain blood pressure during anesthesia.
肾上腺素一种肾上腺素的药剂，c9h13no2，它是一种很强的血管收缩剂，可用于麻醉过程中减轻鼻充血、扩大瞳孔和稳定血压。
当桡动脉压达到80mmHg、股动脉压达到60mmHg或颈总动脉压达到50mmHg时，脉搏可被扪及。血压非常低时可用此法进行评估。
The pulse may be palpable when the radial artery pressure reached 80mmHg, femoral artery pressure reached 60mmHg or carotid arterial pressure reached 50mmHg. This method can be uesed to assess patient's status under very low blood pressure.
出处：Wilton C. Levine, Clinical Anesthesia Procedures of the Massachusetts General Hospital, page 180.
It is routinely used for patients who are under general anesthesia, since it provides a patent airway for patients who are breathing spontaneously and for those who are receiving mechanical ventilation. The laryngeal mask airway has been successfully used as an airway device for patients in cardiac arrest, even by personnel with little experience in airway management.目前全麻患者已常规进行LMA，可保证自主呼吸和机械通气患者的气道通畅。喉罩气道是心脏骤停患者气道建立的有效措施，即使气道管理经验不足者亦可操作。
Two factors that influence the choice of anticholinesterase drug to be administered to antagonize neuromuscular blockade include the approximate duration of action of the nondepolarizing neuromuscular blocking drug that had been administered and the intensity of the neuromuscular blockade that exists at the conclusion of surgery.
影响选择胆碱酯酶抑制剂用于拮抗肌松的因素有二，一是非去极化肌松药的大致作用时间，二是术毕神经肌肉阻滞的程度。
References. Stoelting RK, Miller RD: Basics of Anesthesia, 4th ed. Philadelphia, Churchill Livingstone, 2000; pp. 104-105. Miller RD: Anesthesia, 5th ed. Philadelphia, Churchill Livingstone, 2000; pp. 466-467.