ccsarean on demand 刻意要求剖宫产
The art and science of anesthesiology is choosing the right dose,"
“麻醉学的奥妙在于选择合适的剂量，”
出处--《News for Redheads》 （红头发的特质）
The toxicity of local anaesthetics results from sodium ion channel
blockade causing impaired or absent neuronal or cardiac conduction.
局麻药物毒性结果是由于钠离子通道阻塞造成神经或心脏传导受损或阻滞。
出处：ANAESTHESIA AND INTENSIVE CARE MEDICINE 8:4
本帖最后由 siegheil 于 2011-12-6 11:23 编辑
Re-breathing causes a discrepancy between FD and FI. The lower the FGF, the larger the discrepancy between FD and FI. This may have potentially deterred many anaesthesiologists from using lower FGF and may have been the impetus for the development of modern closed-loop end-expired feedback anaesthesia machines.
重吸入导致了FD与FI之间的差异，FGF越低，FD与FI之间的差异越大。这或许是许多麻醉医生不愿意使用过低FGF的内在原因，但也可能成为推动现代封闭回路呼末反馈麻醉机发展的因素。
出处:Anesthesia and Intensive Care, Vol.38, No. 1, January 2010
The Practice of Anesthesiology 1
KEY CONCEPTS
1. An anesthetic plan should be formulated that will optimally accommodate the patient's baseline physiologic state, including any medical and surgical illnesses,the planned procedure,drug sensitivities,previous anesthetic experiences,and psychological makeup.
2. inadequate preoperative planning and errors in patient preparation are the most common causes of anesthetic complications.
3. anesthesia and elective surgery should not proceed untill the patient is in optimal medical condition.
4. To be valuable, a preoperative test implies an increased perioperative risk when it is abnormal and a reduced risk when the abnormality is corrected.
5. The usefulness of a screening test depends on its sensitivity and specificity.Sensitive tests have a low rate of false-negative results, while secific tests have a low rate of false-positive results.
6. if any procedure is performed without the patient's consent ,the physician may be liable for assault and battery.
7. The intraoperative anesthesia record serves many purposes. It functions as a useful intraoperative monitor, a reference for future anesthetics for that patient, and a fool for quality assurance.
译文:麻醉学实践 第一章
核心概念
1. 我们应该有一个麻醉计划,那样可以最好地提供病人的基本生理状态,包括内外科疾病,计划步骤,药物敏感性,以前的麻醉经历和心理情况等.
2. 不足的术前计划和错误的术前准备通常是引起麻醉并发症的原因.
3. 麻醉和择期手术只有在病人状态最优时才能进行.
4. 评估病人:术前试验包括在病人不正常时可能增加的危险和在不正常纠正后病人可能减小的风险.
5. 筛选试验的作用取决于试验的敏感性和特异性.敏感的试验有低的假阴性结果,而特异性试验有低的假阳性结果.
6. 如果没经病人的同意而执行的任何操作步骤,医生可能要承担遭到病人反对的后果.
7. 术中麻醉记录有多种用途.它可以作为有用的术中监测,也可作为病从将来的麻醉参考资料.也是一种质量保证的工具.
The most common means of transmission is direct transfer of bodily fluids either through sharing contaminated needles or sexual relations
最觉见的传播途径是共用注射器或性关系所带来的直接的全液交流。
1. 他处于麻醉状态。
He is under anaesthetic.
2. 医生给他全身麻醉。
The doctor gave him a general anaesthetic.
3. 在麻醉剂的作用下我感到舒服些。
I felt comfortable on narcotic effect.
4. 给你施麻醉後，你就什麽也感觉不到了。
You'll be under (an) anaesthetic, so you won't feel a thing.
5. 你丈夫麻醉後还没有苏醒。
Your husband hasn't yet come round after the anaesthetic.
全身麻醉General Anesthesia
吸入全身麻醉 Inhalation Anesthesia
静脉全身麻醉 Intravenous Anesthesia
局部麻醉Local Anesthesia
表面麻醉 Surface Anesthesia
局部浸润麻醉 Local Infiltration Anesthesia
区域阻滞Regional Block
神经阻滞Nerve Block
椎管内麻醉Intrathecal Block
蛛网膜下腔阻滞（腰麻） Spinal Block
硬脊膜外腔阻滞Epidural Block
骶管阻滞Caudal Block
复合麻醉Combined Anesthesia
基础麻醉Basal Anesthesia
Structures in the brainstem, diencephalon, and basal forebrain control the sleep-wake cycle and are directly modulated by general anesthetics.
脑干，间脑，前脑基底部控制睡眠和觉醒，这些结构被全麻所调控。
出处：Miller_s_Anesthesia 7Ed
You look a little better today.[今天看来你精神好一些。]
You can get out of bed today.[你今天可以下床了。]