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. |