有奖中英文一句话互译活动

jtsyy

困难气道的定义是：具有五年以上临床麻醉经验的麻醉科医师在面罩通气时遇到了困难（上呼吸道梗阻），或气管插管时遇到了困难，或两者兼有的一种临床情况。
The definition of difficult spirit way is:Have for more than five years the clinical anaesthesia is empirical anaesthesia doctor Ke met a difficulty(up breath way block) when the mask ventilates, or the windpipe met a difficulty while putting a tube, or both and a kind of clinical circumstance for having.
出处：中华医学会麻醉学分会《困难气道管理专家意见》

jtsyy

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。

ywy

Evidence for a beneficial effect of lipid infusion in local anesthetic systemic toxicity  was  first  published  more  than  a decade  ago  in a  rat  model  of bupivacaine-induced  asystole
脂类输注对局麻药全身毒性产生有利影响的证据首次发表于十多年前的一次布比卡因导致的心搏停止的大鼠模型实验后。
出处：Regional Anesthesia and Pain Medicine & Volume 35, Number 2, March-April 2010

aaa2148033

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。

1786471qw

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

rusideal

Thoracic epidural-general analgesia in scoliosis surgery
脊柱侧弯手术中应用胸段硬膜外镇痛
出处：临床麻醉学杂志

lizhenzhou

Suspected Anaphylactic Reactions Associated with Anaesthesia,
围术期麻醉药物过敏反应
                                                  出自 AAGBI SAFETY GUIDELINE

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CON:Fluid Restriction for Cardiac Patients During Major Noncardiac Surgery Should be Replaced by Goal-Directed Intravascular Fluid Administration.
Anesth Analg 2006;102:344-6
Plasma volume expansion groups (4,5,7).Interestingly,the reduction of duration of hospitalization was 2 days in general surgery in relatively young and healthy patients(mean age,55-60 yr)(4),4days in cardiac surgery in 65-yr-old patients(7),and 4 to 8 days in 75 to 85-yr-old patients undergoing proximal femoral fracture repair(5,6).Older age and increasing comorbidity thus does not seem to limit but rather to increase the benefit of a goal-directed perioperative plasma volume expansion.
结论：限制性输液在心脏病人的非心脏手术中应当被目标导向的液体管理替代。
有趣的是，血浆容量扩充组（4、5、7），在年轻和健康病人中（平均年龄，50-60y）住院时间减少的天数为2天（4），在65岁心脏外科手术病人中住院时间减少的天数为4天（7），在75-85岁股骨干近端骨折修复术中住院时间减少的天数为4-8天（5、6）。如此看来：年龄的增加和合并症的增多并没有减少，反而是增加了目标导向的围术期容量扩充的益处。
从中山医院一位老师的课件中看到的一段话，硬译过来的，也不知道是说的这个意思不？

shenxiu2

回复 563# wfzlx

请点击首帖(主题帖)的"领取奖励" 领取你的奖励。----参宿2

shengbo119

麻醉治疗管理与持续改进
（一） 实行麻醉医师资格分级授权管理制度与规范，有定期能力评价与再授权的机制。
（二） 实行患儿麻醉前病情评估制度，制定治疗计划/方案，风险评估结果记录在病历中。
（三） 患儿麻醉前应向患儿监护人或近亲的知情同意，包括治疗风险、优点及其他可能的选择。
（四） 实施麻醉操作的全过程必须记录于病历/麻醉单中。
（五） 有麻醉恢复室，管理措施到位，实施规范的全程监测，记录麻醉后患儿的恢复状态，防范麻醉并发症的措施到位。
（六） 建立术后、慢性疼痛、癌痛患儿的镇痛治疗管理规范与程序，并有效执行。
（七） 建立麻醉科与输血科的有效沟通，积极开展自体输血，严格掌握术中输血适应症，合理、安全输血。
（八） 科主任、护士长与具备资质的人员组成质量与安全管理团队，能用麻醉工作质量和安全管理规章、岗位职责、各类麻醉技术操作规程、质量与安全指标来确保患儿麻醉安全，定期评价质量，促进持续改进。

       Anaesthetic Management and Quality Improvement
1.Implementation of anaesthesiologists classification and authorization management system contributed to periodically capacity assessment and re-authorization.
2. Implementation of the disease assessment system in children before anaesthesia, establishment of treatment planning or programs, and assessment of risks were recorded in medical records.
3. Before anaesthesia, the guardians or relatives of children should be introduced to the risks, benefits and alternatives of surgical and anaesthesia procedure , and signed the informed consent form.
4. The process of anaesthesia operations should be carefully documented in the medical records and anaesthesia records.
5. There should be a post-anaesthesia care unit, which be composed of highly trained nurses and anaesthetists, to provide the standardized monitoring of vital signs. The recovery status of children after general anaesthesia shoud be recorded, and effective measurement was developed to prevent life threatening complications of anaesthesia.
6. Management practices and procedures for postoperative pain, chronic pain, cancer pain of children shoud be established and effective implemented.
7. Department of Anaesthesia and Department of blood transfusion should established the positive and effective communications. They should carry out autologous blood transfusion actively, and strictly control of intraoperative blood transfusion in order to rationally and safely blood transfusion.
8. Quality and safety management team, composed of director, head nurse and qualified personnel, should be ensure the safety of anaesthesia in children using the quality and safety of anaesthesia management regulations, job responsibilities and various types of technology procedures and quality and safety indicators of anaeasthesia. Meanwhile, the team should evaluate the quality of anaeasthesia periodically, and promote continuous improvement of Department of Anesthesia.

宁愿不醉

ccsarean on demand 刻意要求剖宫产

安格妮娅

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）

　　

ly110099

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

siegheil

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

labisa

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.