Miller Anesthesia, 5th ed.pdb

2895 Pages·2005·18.89 MB·English

Miller: Anesthesia, 5th ed., Copyright © 2000 Churchill Livingstone, Inc.
By OkDoKeY
Frontmatter

Copyright Page
Title Page
Contributors
Preface to the Fifth Edition
Section 1 - Introduction

1 - History of Anesthetic Practice
Section 2 - Scientific Principles

2 - Basic Principles of Pharmacology Related to Anesthesia
3 - Mechanisms of Action
4 - Uptake and Distribution
5A - Cardiovascular Pharmacology
5B - Pulmonary Pharmacology
6 - Metabolism and Toxicity of Inhaled Anesthetics
7 - Inhaled Anesthetic Delivery Systems
8 - Barbiturates
9 - Nonbarbiturate Intravenous Anesthetics
10 - Intravenous Opioid Anesthetics
11 - Intravenous Drug Delivery Systems
12 - Pharmacology of Muscle Relaxants and Their Antagonists
13 - Local Anesthetics
14 - The Autonomic Nervous System
15 - Respiratory Physiology and Respiratory Function During Anesthesia
16 - Cardiac Physiology
17 - Hepatic Physiology
18 - Renal Physiology
19 - Cerebral Physiology and the Effects of Anesthetics and Techniques
20 - Neuromuscular Physiology and Pharmacology
21 - Research Design and Statistics in Anesthesia
Section 3 - Anesthesia Management

22 - Risk of Anesthesia
23 - Preoperative Evaluation
24 - Pulmonary Function Testing
25 - Anesthetic Implications of Concurrent Diseases
26 - Patient Positioning
27 - Malignant Hyperthermia
28 - Fundamental Principles of Monitoring Instrumentation
29 - Monitoring Depth of Anesthesia
30 - Cardiovascular Monitoring
31 - Transesophageal Echocardiography
32 - Electrocardiography
33 - Respiratory Monitoring
34 - Renal Function Monitoring
35 - Neurologic Monitoring
36 - Neuromuscular Monitoring
37 - Temperature Monitoring
38 - Acid-Base Balance
39 - Airway Management
40 - Monitored Anesthesia Care
41 - Deliberate Hypotension
42 - Spinal, Epidural, and Caudal Anesthesia
43 - Nerve Blocks
44 - Regional Anesthesia in Children
45 - Fluid and Electrolyte Physiology
46 - Transfusion Therapy
47 - Autologous Transfusion
Section 4 - Subspecialty Management
48 - Anesthesia for Thoracic Surgery
49 - Anesthesia for Adult Cardiac Surgery
50 - Anesthesia for Pediatric Cardiac Surgery
51 - Anesthesia for Vascular Surgery
52 - Neurosurgical Anesthesia
53 - Anesthesia and the Renal and Genitourinary Systems
54 - Anesthesia and the Hepatobiliary System
55 - Organ Transplantation
56 - Anesthesia for Laparoscopic Surgery
57 - Anesthesia for Obstetrics
58 - Resuscitation of the Newborn
59 - Pediatric Anesthesia
60 - Anesthesia for Orthopedic Surgery
61 - Anesthesia for the Elderly
62 - Anesthesia for Trauma
63 - Anesthesia for Eye, Ear, Nose, and Throat Surgery
64 - Anesthesia for Laser Surgery
65 - Outpatient Anesthesia
66 - Anesthesia at Remote Locations
67 - Clinical Care at Altered Environmental Pressure
68 - The Postanesthesia Care Unit
69 - Acute Perioperative Pain
70 - Chronic Pain
Section 5 - Critical Care Medicine

71 - Overview of Anesthesiology and Critical Care Medicine
72 - Respiratory Care
73 - Pediatric and Neonatal Intensive Care
74 - Nutritional Aspects
75 - Cardiopulmonary Resuscitation: Basic and Advanced Cardiac Life Support
76 - Brain Death
Section 6 - Ancillary Responsibilities and Problems

77 - Scope of Modern Anesthetic Practice
78 - Finding Professional Information on the Internet
79 - Quality Assurance/Quality Improvement
80 - Human Work Environment and Simulators
81 - Teaching Anesthesia
82 - Operating Room Management
83 - Electrical Safety in the Operating Room
84 - Environmental Safety Including Chemical Dependency
85 - Ethical and Legal Aspects
APPENDIX: Practice Guidelines for Pulmonary Artery Catheterization

I. Introduction
II. Methodology
III. Clinical Effectiveness of Pulmonary Artery Catheterization
IV. Public Policy Issues
V. Recommendations
Preoperative Catheterization
Competency
VI. Research Agenda
References
APPENDIX: Practice Guidelines for Perioperative Transesophageal Echocardiography
Wall Motion, Myocardial Ischemia, and Coronary Artery Disease
Hemodynamic Function
Valvular Surgery
Congenital Heart Surgery
Cardiomyopathy
Cardiac Aneurysms
Endocarditis
Cardiac Tumors
Foreign Bodies
Air Emboli
Intracardiac Thrombi
Pulmonary Emboli
Emboli during Orthopedic Procedures
Traumatic Cardiac Injuries
Thoracic Aortic Aneurysms and Dissections
Traumatic Thoracic Aortic Disruption
Sources of Aortic Emboli
Pericarditis
Pericardial Effusions and Tamponade
Pleuropulmonary Diseases
Transplant Surgery
Mechanical Circulatory Support, Defibrillators, and Catheter Placement
Cardioplegia
Nonoperative Critical Care Medicine
Adverse Effects
Certification, Credentialing, Quality Assurance, and Training
Training
References
APPENDIX: Practice Guidelines for Management of the Difficult Airway

Introduction
Guidelines
Appendix
APPENDIX: Practice Guidelines for Blood Component Therapy

Adverse Effects
Costs
Red blood cells
Platelets
Fresh-frozen Plasma
Cryoprecipitate
Conclusions
References
APPENDIX: Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists

Guidelines
Appendix 1: Methods and Analyses
Appendix 2: Definition of Terms
Appendix 3: Summary of Guidelines
GUIDELINES FOR AMBULATORY SURGICAL FACILITIES (Approved by House of Delegates on October 11, 1973 and last amended on October 12, 1988)
APPENDIX: Practice Guidelines for Acute Pain Management in the Perioperative Setting

Introduction
Guidelines
Appendix: Assessment of Scientific Evidence and Consultant Opinion
References
APPENDIX: Practice Guidelines for Chronic Pain Management

Guidelines
Appendix: Methods and Analyses
APPENDIX: Practice Guidelines for Cancer Pain Management
I. Comprehensive Evaluation and Assessment of the Patient with Cancer Pain
II. Longitudinal Monitoring of Pain
III. Involvement of Specialists from Multiple Disciplines
IV. Paradigm for the Management of Cancer Pain
V. Management of Cancer-related Symptoms and Adverse Effects of Pain Therapy
VI. Recognition, Assessment, and Management of Psychosocial Factors
VII. Home Parenteral Therapy
VII. End-of-Life Care
IX. Recognition and Management of Special Features of Pediatric Cancer Pain Management
Appendix 1. Assessment of Scientific Evidence and Consultant Opinion
Appendix 2. Adverse Drug Effects from Opioid Therapies
APPENDIX: Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application
to Healthy Patients Undergoing Elective Procedures

A. Purposes of the Guidelines for Preoperative Fasting
B. Focus
C. Application
D. Task Force Members and Consultants
E. Availability and Strength of Evidence
Guidelines
Appendix: Methods and Analyses
APPENDIX: Practice Guidelines for Obstetrical Anesthesia

A. Purposes of the Guidelines for Obstetrical Anesthesia
B. Focus
C. Application
D. Task Force Members and Consultants
E. Availability and Strength of Evidence
Guidelines
Appendix: Methods and Analyses.
References
APPENDIX: Systeme International

SYSTEME INTERNATIONAL
Miller: Anesthesia, 5th ed., Copyright © 2000 Churchill Livingstone, Inc.
4A
2A
CHURCHILL LIVINGSTONE
A division of Harcourt Brace & Company
The Curtis Center
Independence Square West
Philadelphia, Pennsylvania 19106
Library of Congress Cataloging-in-Publication Data
Anesthesia / editor, Ronald D. Miller; atlas of regional anesthesia
procedures illustrated by Gwenn Afton-Bird.--5th ed.
p. cm.
Includes bibliographical references and index.
ISBN 0-443-07988-9 (set)
1. Anesthesia. I. Miller, Ronald D.
[DNLM: 1. Anesthesia. WO 200 A573 2000]
RD81.A54 2000
617.9
6--dc21
DNLM/DLC 99-19722
ANESTHESIA 0-443-07988-9(set)
0-443-07995-1(Vol. 1)
Copyright © 2000, 1994, 1990, 1986, 1981 by Churchill Livingstone 0-443-07996-X(Vol. 2)
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy,
recording, or any information storage and retrieval system, without permission in writing from the publisher.
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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Consulting Editors
Roy F. Cucchiara, M.D.
Professor of Anesthesiology
University of Florida College of Medicine
Gainesville, Florida
Edward D. Miller Jr., M.D.
Dean of the Medical Faculty
CEO, Johns Hopkins Medicine
Professor, Department of Anesthesiology
and Critical Care Medicine
The Johns Hopkins University School of Medicine
Baltimore, Maryland
J. Gerald Reves, M.D.
Professor and Chairman
Department of Anesthesiology
Duke University Medical Center
Durham, North Carolina
Michael F. Roizen, M.D.
Professor and Chairman
Department of Anesthesia and Critical Care
Professor, Department of Medicine
University of Chicago Pritzker School of Medicine
Chicago, Illinois
John J. Savarese, M.D.
The Joseph F. Artusio Professor and Chairman
Department of Anesthesiology
New York Presbyterian Hospital
Joan and Sanford I. Weill Medical College
Cornell University
New York, New York
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Miller: Anesthesia, 5th ed., Copyright © 2000 Churchill Livingstone, Inc.
ANESTHESIA
FIFTH EDITION
Volume 1
Edited by
Ronald D. Miller M.D.
Professor and Chairman of Anesthesia and Perioperative Care
Professor of Cellular and Molecular Pharmacology
Department of Anesthesia
University of California, San Francisco
School of Medicine
San Francisco, California
Atlas of Regional Anesthesia Procedures illustrated by Gwenn Afton-Bird, M.S.
A Division of Harcourt Brace & Company
Philadelphia London Toronto Montreal Sydney Tokyo Edinburgh
5A

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Miller: Anesthesia, 5th ed., Copyright © 2000 Churchill Livingstone, Inc.
Contributors
Hugo van Aken M.D., Ph.D.
Chairman and Professor of Anesthesiology
Westfalische Wilhelms-Universitat,
Munster, Germany
David D. Alfery M.D.
Department of Anesthesiology,
Centennial Medical Center,
Nashville, Tennessee
J. Jeffrey Andrews M.D.
Professor and Vice-Chair for Clinical Development,
Department of Anesthesiology,
University of Alabama at Birmingham
School of Medicine,
Birmingham, Alabama;
Chief, Anesthesiology Service,
Veterans Administration,
Birmingham VA Medical Center,
Birmingham, Alabama
Joseph F. Antognini M.D.
Associate Professor, Department of Anesthesiology,
University of California, Davis,
School of Medicine,
Davis, California
William P. Arnold III M.D.
Associate Professor, Department of Anesthesiology,
University of Virginia Health System,
University of Virginia School of Medicine,
Charlottesville, Virginia
Solomon Aronson M.D.
Associate Professor and Director of Cardiothoracic Anesthesia,
Department of Anesthesia and Critical Care,
University of Chicago Hospitals,
Chicago, Illinois
Michael J. Avram Ph.D.
Associate Professor, Department of Anesthesiology,
Northwestern University Medical School,
Chicago, Illinois
Jeffrey M. Baden F.R.C.A., M.R.C.P. (UK)
Professor, Department of Anesthesia,
Stanford University School of Medicine,
Stanford, California;
Staff Anesthesiologist,
Veterans Affairs Health Care System,
Palo Alto, California
Peter Bailey M.D.
Professor and Director, Cardiothoracic Anesthesia,
Department of Anesthesia,
University of Utah, Health Sciences Center,
Salt Lake City, Utah
Michael J. Banner Ph.D.
Associate Professor, Department of Anesthesiology,
University of Florida, Shands Teaching Hospital,
Gainesville, Florida
Steven J. Barker M.D.
Professor and Chair, Department of Anesthesiology,
University of Arizona,
Tucson, Arizona
Nathan M. Bass M.D., Ph.D.
Professor, Department of Medicine,
University of California, San Francisco,
School of Medicine,
San Francisco, California;
Attending Physician,
Division of Gastroenterology,
University of California, San Francisco Medical Center,
San Francisco, California
Jonathan L. Benumof M.D.
Professor, Department of Anesthesiology,
University of California, San Diego, School of Medicine
La Jolla, California
Susan Black M.D.
Associate Professor,
Department of Anesthesiology,
University of Florida College of Medicine,
Gainesville, Florida
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Thomas J.J. Blanck M.D., Ph.D.
Professor, Departments of Anesthesiology and Physiology and Biophysics,
Joan and Sanford I. Weill Medical College of Cornell University,
New York, New York;
Director, Department of Anesthesiology,
Hospital for Special Surgery,
New York, New York
David L. Brown M.D.
Professor and Head,
Department of Anesthesia,
University of Iowa College of Medicine,
Iowa City, Iowa;
Head, Department of Anesthesia,
University of Iowa Hospital and Clinics,
Iowa City, Iowa
Michael K. Cahalan M.D.
Professor, Department of Anesthesia,
University of California, San Francisco, School of Medicine;
Director of Anesthesia for Cardiac Surgery,
Moffitt and Long Hospitals,
San Francisco, California
James E. Caldwell M.D.
Professor and Director of Perioperative Medicine,
Department of Anesthesia,
University of California, San Francisco, School of Medicine,
San Francisco, California
Enrico M. Camporesi M.D.
Professor and Chair,
Department of Anesthesiology;
Professor of Physiology,
State University of New York Health Science Center at Syracuse College of Medicine,
Syracuse, New York
Donald Caton M.D.