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CRNA : the clinical forum for nurse anesthetists最新文献

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Anesthesia care of the patient with reactive airways disease. 反应性气道疾病患者的麻醉护理。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
C B Drain
{"title":"Anesthesia care of the patient with reactive airways disease.","authors":"C B Drain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical characteristics of reactive airways disease have been recognized for centuries. Any bronchospastic respiratory disease process that has a degree of reversibility can be considered a reactive airways disease. More specifically, any of the chronic obstructive pulmonary disease components--asthma, emphysema, and chronic bronchitis--that are reversible can be considered a form of reactive airways disease. Asthma is the prototypical reactive airways disease. Accounts of asthmatic symptoms have appeared in the medical literature from the time of Hippocrates. In fact, the word asthma is derived from the Greek word \"asthma,\" which means panting. Certainly, the anesthetic management of a patient with asthma can be challenging for the anesthetist. Serious complications, of which 75% are pulmonary, can occur both during and after surgery.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"207-12"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031341","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
Anesthetic drug interactions. 麻醉药物的相互作用。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
M S McAuliffe, E A Hartshorn
{"title":"Anesthetic drug interactions.","authors":"M S McAuliffe,&nbsp;E A Hartshorn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"216-8"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031343","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 waning use of the precordial stethoscope. 心前听诊器的使用逐渐减少。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
A Cokefair
{"title":"The waning use of the precordial stethoscope.","authors":"A Cokefair","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"219"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031344","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
Physiology of respiratory system related to anesthesia. 与麻醉有关的呼吸系统生理学。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
C B Drain
{"title":"Physiology of respiratory system related to anesthesia.","authors":"C B Drain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>All inhalational anesthetic agents depress respiratory function. They also depend largely on the respiratory system to facilitate an induction and emergence from anesthesia. The other anesthetic agents, such as intravenous agents, also depress respiration. Much of the morbidity and mortality that occurs in the perioperative period can be attributed to an alteration in lung mechanics and dysfunctions in airway dynamics. In fact, it is postulated that 70% to 80% of the morbidity and mortality occurring in the perioperative period is associated with some form of respiratory dysfunction. Consequently, a detailed discussion of the many facets of respiratory anatomy and physiology will be presented. If the CRNA incorporates this information into anesthesia practice, care of the surgical patient will be enhanced.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"163-80"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031337","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 pharmacology of respiratory disorders related to anesthesia. 与麻醉有关的呼吸系统疾病的药理学。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
C B Drain, S E Robinson
{"title":"The pharmacology of respiratory disorders related to anesthesia.","authors":"C B Drain,&nbsp;S E Robinson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pharmacology of disorders of the respiratory system focuses on one major parameter--bronchodilatation. Drugs are rated as effective purely on how well they reverse brochoconstriction. Patients' conditions are considered reversible if there is a 20% increase in flow rates after a bronchodilator is administered. This article evaluates many of the drugs used in the treatment of reactive airway diseases such as asthma. Particular emphasis is placed on the anesthetic drugs used during the perioperative period.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"193-9"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031339","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
Problem-oriented case management. 问题导向的案例管理。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-11-01
S L Sticco
{"title":"Problem-oriented case management.","authors":"S L Sticco","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 4","pages":"213-5"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20031342","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
An investigation of the current literature on the effectiveness of patient-controlled analgesia methods. 对目前有关病人自控镇痛方法有效性的文献进行调查。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-08-01
A Cokefair, H S Smith, C A Gries
{"title":"An investigation of the current literature on the effectiveness of patient-controlled analgesia methods.","authors":"A Cokefair,&nbsp;H S Smith,&nbsp;C A Gries","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this investigation was to determine, through current research in the literature, if a background basal infusion should routinely be used to improve the efficacy of traditional-demand patient-controlled analgesia (PCA) and would the safety of the PCA technique be maintained with the addition of a continuous infusion. Of the nine studies investigating PCA with and without continuous infusion, six found no improvement in pain control with the addition of a continuous infusion. The patients receiving continuous infusion did not make fewer demands than the control group, nor did they report lower pain scores. The addition of a continuous background infusion to PCA diminishes the inherent safety of the PCA modality of pain management. Many studies reported an increased incidence of side effects with the addition of a continuous infusion. This modality of PCA should be reserved for use in patients in whom traditional-demand PCA does not satisfy analgesic requirements.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 3","pages":"126-34"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19817516","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
Anesthetic drug interactions. 麻醉药物的相互作用。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-08-01
M S McAuliffe, E A Hartshorn
{"title":"Anesthetic drug interactions.","authors":"M S McAuliffe,&nbsp;E A Hartshorn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 3","pages":"154-8"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19818840","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
Anesthetic management for the implantable cardioverter-defibrillator. 植入式心律转复除颤器的麻醉管理。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-08-01
L M VanWormer, D Martin-Sheridan
{"title":"Anesthetic management for the implantable cardioverter-defibrillator.","authors":"L M VanWormer,&nbsp;D Martin-Sheridan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of implantable cardioverter-defbrillators to treat ventricular tachyarrhythmias has increased over the last 15 years. This article presents a description of third- and fourth-generation implantable cardioverter-defibrillators (ICDs), including information concerning their use, patient selection criteria, surgical implantation techniques, and anesthetic implications. A brief history of the development of the ICD is discussed. Indications, contraindications and complications are examined.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 3","pages":"144-50"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19818838","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
Problem-oriented anesthesia management. 问题导向的麻醉管理。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1996-08-01
S L Sticco
{"title":"Problem-oriented anesthesia management.","authors":"S L Sticco","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"7 3","pages":"151-3"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19818839","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
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