Contemporary anesthesia practice最新文献_第3页

Anesthetic considerations in facial plastic surgery: the surgeon's viewpoint. 面部整形手术中的麻醉注意事项:外科医生的观点。

Contemporary anesthesia practice Pub Date : 1987-01-01

C F Koopmann

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Anesthesia for tonsillectomy and adenoidectomy. 扁桃体和腺样体切除术的麻醉。

Contemporary anesthesia practice Pub Date : 1987-01-01

B R Brown

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Computers: do we need them now? 电脑:我们现在需要它们吗?

Contemporary anesthesia practice Pub Date : 1984-01-01

J A Spain, R J Saunders

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Closed-circuit and high-flow systems: examining alternatives. 闭路和高流量系统:检查替代方案。

Contemporary anesthesia practice Pub Date : 1984-01-01

E A Ernst, J A Spain

{"title":"Closed-circuit and high-flow systems: examining alternatives.","authors":"E A Ernst, J A Spain","doi":"","DOIUrl":"","url":null,"abstract":"The nonrebreathing system has been with us since Morton demonstrated the administration of diethyl ether in 1846. Its current popularity is evidenced by the extensive use of the Bain system. The greatest advantage, its history of patient safety, is related to the circuit's simplicity and the knowledge that the delivered concentration equals the inhaled concentration. Most disadvantages of the nonrebreathing system are related to the required high delivery rates: operating room and environmental pollution, necessity of scavenging gases, cost of agents, energy loss through no-return operating room ventilation, inhalation of dry gases, and the inability of the anesthesiologist to quantitate patient uptake of oxygen and inhaled anesthetics. Partial rebreathing systems reduce the disadvantages related to high delivery flow rates but, owing to the required rebreathing, do not permit the anesthesiologist to know the inhaled anesthetic concentration. A carbon dioxide absorber is necessary. It is still impossible to quantitate uptake by the patient, and it is difficult to conclude that any real net advantage results from the use of partial rebreathing systems. When modern-day technology provides the practitioner with an appropriate anesthesia machine, it is likely that closed-circuit anesthesia will become the method of choice for anesthesia delivery. Although the economic, ecologic, and physiologic advantages of this system are important, its greatest asset is the ability to monitor important respiratory and cardiovascular variables in patients noninvasively. Important information provided to the anesthesiologist by the patient during closed-circuit anesthesia is lost through the pop-off valve when high-flow systems are used. During closed-circuit anesthesia the gas machine itself becomes a monitor. Practicing anesthesiologists will embrace closed-circuit anesthesia practice when-and if-they are convinced that it provides an opportunity for better and more efficient patient care than other systems.","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"8 ","pages":"11-38"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17292059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Arizona program: development of a modular, interactive anesthesia delivery system. 亚利桑那项目:开发一种模块化、互动式麻醉输送系统。

Contemporary anesthesia practice Pub Date : 1984-01-01

W R Jewett

引用次数: 0

The Alabama Automated Closed-Circuit Anesthesia Project. 阿拉巴马州自动化闭路麻醉项目。

Contemporary anesthesia practice Pub Date : 1984-01-01

J A Spain, T C Jannett, E A Ernst

引用次数: 0

Why new delivery systems? 为什么是新的传送系统?

Contemporary anesthesia practice Pub Date : 1984-01-01

J M Calkins

{"title":"Why new delivery systems?","authors":"J M Calkins","doi":"","DOIUrl":"","url":null,"abstract":"Although anesthetists have accomplished a remarkable safety record with commercially available anesthetic machines, these results have been obtained in spite of machine design, which could best be described as a nonsystem. In cases involving severely compromised patients, surgical procedures that severely alter patient physiology, and untoward events during \"routine\" anesthesia, it is a tribute to the flexibility and resourcefulness of anesthetists that more incidents do not occur. Industry has long sought precision, reliability, automatic control, and human-factors engineering in nonmedical applications, such as aircraft cockpit design, word-processing stations, and manufacturing processes. The relentless accretion of more and more nonintegrated gadgets onto an antiquated technology has exceeded the boundaries of proper function. Neither the patient nor the anesthetist is being served well by failure to implement state-of-the-art technology in anesthesic delivery systems. Anesthesiologists and others who are vitally interested in the welfare of their patients must insist that development of radically new integrated modular systems proceed at full speed. Their checkbooks can speak as loudly as the facts; it is time the manufacturers are aware that deep concern will be translated into purchasing decisions.","PeriodicalId":75737,"journal":{"name":"Contemporary anesthesia practice","volume":"8 ","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17746872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Standards for anesthesia: the issues. 麻醉标准:问题。

Contemporary anesthesia practice Pub Date : 1984-01-01

L Rendell-Baker

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The Boston Anesthesia System. 波士顿麻醉系统。

Contemporary anesthesia practice Pub Date : 1984-01-01

J B Cooper, R S Newbower

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The Utah system: computer-controlled anesthetic delivery. 犹他系统:电脑控制麻醉输送。

Contemporary anesthesia practice Pub Date : 1984-01-01

D R Westenskow, W S Jordan

引用次数: 0