Fast Tracking Cardia Anesthesia
快通道心脏手术的麻醉
体外循环是将体内静脉血引至体外进行氧合，然后再输回体内，如此血液可以不经过心脏和肺而进行周身循环。心脏内因血液流动，为外科医师提供了切开心脏进行直视手术的条件，这种方法可使心内操作时间大为延长。使一些复杂的心脏畸形的手术成为可能，但是必须具备一套性能良好、安全可靠的人工心肺装置。 Extracorporeal circulation: The technique of mechanically circulating the blood so the heart doesn't have to. The device used for ECC is called the heart-lung machine or the cardiopulmonary bypass circuit. This device drains the blue blood from the patient, placesoxygen in the blood, and returns (or pumps) the red blood back into the aorta for distribution to the whole body. To prevent clotting in the heart-lung circuit, strong anticoagulation with heparin is needed. 出处：http://www.haodf.com/zhuanjiaguandian/yyxw_9160.htm
Anesthesia than surgeons to doctors more responsibility and is more risk
麻醉医生比外科医生更要担负责任，更具有风险
Surgeons and anaesthetist have a curious sadomasochistic relationship.
外科医生和麻醉师有一种古怪的施虐受虐狂关系
The love-hate aspects of the relationship are governed by two
historical truths: without surgeons, anaesthetists would be unemployed
(hence the diversification into intensive care, pain clinics,
hyperalimentation, and the like), and, because all surgical progress
has been made possible by anaesthesia, without anaesthetists, most
patients would rather keep their gallbladders, prepuces, and ugly noses.
两个现实的事实支配了这种爱恨交加的关系：没有外科医生，麻醉师就会失业（因此导致了麻醉专业分化出深切治疗，疼痛门诊，静脉营养，等等）；同时，因为麻醉学，所有外科学的进步才成为可能，没有麻醉师，绝大多数病人宁愿保留他们的胆囊，阴茎包皮和难看的鼻子。
MISERYACQUAINTSAMANWITHSTRANGEBEDFELLOWS
byMalcolmFisher（可能是英国ICU的一个主任）(World Medicine October 1976)
苦 难 使 人 认 识 一 些 奇 怪 的 同 床 人（落难时不择伙伴）
Three basic decisions needed before induction of anesthesia in every patient are whether to use awake intubation, use a percutaneous technique, or maintain spontaneous ventilation.
麻醉诱导前，有三个基本决策需考虑到：是否需清醒插管，是否需有创操作，是否需维持自主呼吸。
本帖最后由 翠竹临风 于 2011-9-24 19:30 编辑
ccsarean on demand 刻意要求剖宫产 前几天看的麻醉年会视频里出现的一个词:victory:
Objective To explore the possibility and security of tracheal e xtubation in the operation room after open heart surgery in children under fenta nyl-isoflurane anesthesia.
目的探讨芬太尼、异氟醚复合麻醉下小儿体外循环心脏手术后手术室拔除气管导管的可能性、安全性。
expiratory positive airway pressure呼气期气道正压
local anesthetic/l[uk[l7An[s5Wetik/局麻药
oil／gas partition coefficient油／气分配系数
回复 1# shenxiu2
Miller's Anesthesia米勒麻醉学
The nose acts as a respiratory pathway, through which air becomes warmed,
humidified and filtered, as the organ of olfaction and as a resonator in speech.
鼻腔作为呼吸气道组成的一部分，吸入的空气在此加温加湿和滤过。同时，也鼻腔作为发声的共鸣腔。
Anatomy for Anaesthetists
张力性气胸的表现是什么
What are the signs of tension pneumothorax?"
Asymmetric breath sounds
气管偏移