By Ronald D. Miller MD, Lars I. Eriksson, Lee A. Fleisher MD, Jeanine P. Wiener-Kronish MD, William L. Young
From primary rules to complex subspecialty techniques, Miller's Anesthesia covers the complete scope of up to date anesthesia perform. it's the go-to reference for masterful assistance at the technical, medical, and scientific demanding situations you face. Now new chapters, new authors, meticulous updates, an elevated foreign presence, and a brand new full-color layout make sure that the seventh variation keeps the culture of excellence that you simply rely on. Plus, with specialist seek advice performance, you should have quick access to the entire textual content on-line at www.expertconsult.com.Includes entry to the full-text on-line for handy referencing. Covers the total scope of latest anesthesia perform in precisely volumes.Offers step by step directions for sufferer administration and an in-depth research of ancillary obligations and problems.Incorporates 'Key issues' bins in each bankruptcy that spotlight very important concepts.Extends the breadth of foreign assurance with contributions from favorite anesthesiologists from world wide, together with China, India, and Sweden. gains 30 new authors and thirteen new chapters equivalent to Sleep, reminiscence and recognition; Perioperative Cognitive disorder; Ultrasound tips for nearby Anesthesia; Anesthesia for Correction of Cardiac Arrhythmias; Anesthesia for Bariatric surgical procedure; Prehospital Emergency and Trauma Care; severe Care Protocols; Neurocritical Care; and Renal substitute remedy. Dedicates a complete part to pediatric anesthesia, that will help you handle the original wishes of pediatric sufferers. offers a brand new full-color layout -- entire with greater than 1,500 full-color illustrations -- for greater visible tips. Your buy entitles you to entry the website till the subsequent version is released, or till the present variation is not any longer provided on the market via Elsevier, whichever happens first. If the subsequent version is released under 365 days after your buy, you can be entitled to on-line entry for 12 months out of your date of buy. Elsevier reserves definitely the right to supply an appropriate substitute product (such as a downloadable or CD-ROM-based digital model) may still entry to the website be discontinued.
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Extra info for Miller's Anesthesia, 7th Edition
Helmut Weese217 (1897-1954), considered by many to be the originator of successful intravenous anesthetic methods, reported several thousand cases of hexobarbital use in 1932. 218 The use of thiopental was a further refinement of his earlier concept of balanced anesthesia, whereby anesthesia is achieved with the use of multiple agents. According to Lundy, general anesthesia was safer with the use of multiple agents because the dose of any one particular agent was smaller and fewer side effects were observed.
B. Heile195 published an extensive study of the epidural space in 1913, but the focus of his final report was on the treatment of neurologic conditions with epidural injections. His unique approach was to enter the epidural space through the intervertebral foramina (a technique that has recently been revived). Tuffier196 was aware of the need for entry at higher levels but was unable to perfect a reliable technique for lumbar or thoracic epidural injections. In 1921, Fidel Pagés197 (1886-1923), a Spanish military surgeon, devised a technique to introduce epidural procaine at all levels of the neuraxis.
Bjørn Ibsen263 (1915-), a Danish anesthesiologist, initiated the concept of intensive care units in the early 1950s to care for polio patients and guided the transition from iron lungs to modern ventilators. Intensive care units have since become an integral part of the modern hospital, with anesthesiologists actively involved in their daily operation. Stress-Free Anesthesia Procedures before the discovery of anesthesia were necessarily of short duration. Raper relates that surgical cases lasting longer than 20 minutes would usually result in death of the patient because the stress associated with such intense nociception would exhaust the patient’s reserves.