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内容简介

　　全书共分13章，涵盖了临床麻醉、重症及疼痛诊疗相关内容，包括术前评估、麻醉监测、气道管理、局麻药与区域阻滞、全身麻醉、酸碱平衡、呼吸衰竭、休克、心肺复苏、营养支持和疼痛诊疗等。可供医学留学生、七年制或八年制医学生、医学本科生英语或双语教学使用。

目　　录

Chapter 1 Introduction
1 History of anesthesiology
2 The scope of anesthesiology
3 Classification of anesthesia
4 How to learn anesthesiology well
Suggested Reading
Chapter 2 Evaluation before Anesthesia
1 History
2 The physical exarrunation
3 Laboratory studies
4 Anesthesiologist—patient relationship
5 Premedication
6 Delaying surgical procedures
Suggested Reading

Chapter 1 Introduction 
1 History of anesthesiology 
2 The scope of anesthesiology 
3 Classification of anesthesia 
4 How to learn anesthesiology well 
Suggested Reading 
Chapter 2 Evaluation before Anesthesia 
1 History 
2 The physical exarrunation 
3 Laboratory studies 
4 Anesthesiologist—patient relationship 
5 Premedication 
6 Delaying surgical procedures 
Suggested Reading 
Chapter 3 Anesthesia Monitoring 
1 Standard monitoring 
2 Respiratory system monitoring 
3 Cardiovascular system monitoring 
4 Depth of anesthesia 
5 Neuromuscular blockade monitoring 
6 Temperature monitoring 
Suggested Reading 
Chapter 4 Local Anesthetics and Regional Anesthesia 
1 Local anesthetics 
2 Anatomy and physiology 
3 Nerve block 
4 Spinal anesthesia 
5 Epidural anesthesia 
6 Combined spinal and epidural anesthesia 
7 Caudal anesthesia 
8 Complications of neuraxial blocks 
Suggested Reading 
Chapter 5 Airway Evaluation and Management 
1 Anatomy 
2 Evaluation of airway 
3 Equipment 
4 Airway management 
Suggested Reading 
Chapter 6 General Anesthesia 
1 Anesthetics for general anesthesia 
2 Administration of general anesthesia 
3 Complications of general anesthesia 
Suggested Reading 
Chapter 7 Acid—Base Balance and Fluid Therapy 
1 Regulation of fluid and electrolytes 
2 Fluid therapy 
Suggested Reading 
Chapter 8 The Postanesthesia Care Unit 
1 Admission to the PACU 
2 Monitoring 
3 Complications 
4 Recovery from regional anesthesia 
5 Criteria for discharge 
Suggested Reading 
Chapter 9 Perioperative Acute Respiratory Failure and Acute Lung Injury （ALI） ／ Acute Respiratory Distress Syndrome （ARDS） 
1 Perioperahve respiratory failure 
2 Acute respiratory distress syndrome 
Suggested Reading 
Chapter 10 Shock 
1 Introduction 
2 Classification of shock 
3 Pathophysiology of shock 
4 Diagnosis and management of shock 
5 Patient morutoring 
6 Treatment 
7 Specific shock syndromes 
Suggested Reading 
Chapter 11 Cardiopulmonary Resuscitation 
1 Definition and causes of cardiac arrest 
2 Cardiopulmonary resuscitation（CPR） 
3 Postresuscitation care 
4 Prognostication following cardiopulmonary cerebral resuscitation 
Suggested Reading 
Chapter 12 Nutritional Aspects 
1 Fasting and malnutrition 
2 Metabolic response to surgical and traumatic injury 
3 The metabolic response to sepsis 
4 Modulation of the stress response （during anesthesia） 
5 Nutritional support 
6 Special consideration 
Suggested Reading 
Chapter 13 Pain Management 
1 Definihon of pain 
2 Neural basis of pain 
3 Classification of pain 
4 Pain assessment 
5 Pain therapy 
Suggested Reading 
Appendix 
Appendix Ⅰ ：Inhaled anaesthetic agents—physicalproperties 
Appendix Ⅱ a： Cardiovascular system—normal values 
Appendix Ⅱ b： Vasoactiveinfusions 
Appendix Ⅲ： Chemicalpathology—biochemicalvalues 
Appendix Ⅳ a： Haematology normal values 
Appendix Ⅳ b： Coagulation tests 
Appendix Ⅳ c： Coagulation screen 
Appendix Ⅴ a： Fluid balance 
Appendix Ⅴ b： Intraoperative fluid requirements—adult 
Appendix Ⅴ c： Fluid， electrolyte and nutritional requirements 
Appendix Ⅴ d： Composition of commonintravenous fluids 
Appendix Ⅵ ： Renal function tests 
Appendix Ⅶ a： Pulmonary function tests 
Appendix Ⅶ b： Lung function ： adult and neonatal values 
Appendix Ⅷ： Paediatrics 
Appendix Ⅸ ： Gas flows in ananesthetic breathing systems

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前　　言

Preface
In recent years, anesthesiology as the grade-2 subject and grade-1 clinical department has
been independently learned by many students including foreign students. Now, it is urgent that
an English textbook of anesthesiology is needed for undergraduate program for international
students. This textbook is written according to the depth of Chinese undergraduate textbook
of anesthesiology and the requirement of textbook of 1-and 2-year international anesthesia
residents, which is suitable for undergraduate program for international students.

This book covers the related contents of clinical anesthesia, intensive care and pain, which

Preface 
In recent years, anesthesiology as the grade-2 subject and grade-1 clinical department has  
been independently learned by many students including foreign students. Now, it is urgent that  
an English textbook of anesthesiology is needed for undergraduate program for international  
students. This textbook is written according to the depth of Chinese undergraduate textbook  
of anesthesiology and the requirement of textbook of 1-and 2-year international anesthesia  
residents, which is suitable for undergraduate program for international students.  
 
This book covers the related contents of clinical anesthesia, intensive care and pain, which  
is divided into 13 chapters including preoperative assessment, anesthesia monitoring, airway  
management, local anesthetics and regional anesthesia, general anesthesia, acid-base balance,  
respiratory failure, shock, cardiopulmonary resuscitation, nutrition support, and diagnosis and  
treatment of pain, etc. This book is written by 15 anesthesia experts and scholars from teaching  
hospital of different areas in China, which is the final version after the first draft, twice cross  
review and finalization. This book highlights the combination of fundamental information,  
related progress and latest knowledge, which can help students to facilitate the understanding  
of discipline development.  
 
We hope that every teacher can give advices in the process of using this book, which can  
make it republication more perfect.  
 
Editors  
Oct 30, 2014  
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在线试读部分章节

　　Acute physiology and chronic health evaluation (APACHE), which has been exactly applied to assessment of the severity of the disease and prediction of prognosis, is used to guide and assist ICU physiaan's diagnosis and treatment.Even so, the judgment criterion of the severity of the disease should be constantly revised in practice to be perfect.Specialists in other fields have seen that their expertise can also be used in critical care units.Certainly the anesthesiologist has an extremely broad view of surgical patients in these uruts and should be able to apply these skills in the postoperative management of these patients.This recognition of the anesthesiologist's role has not been an easy road to travel.
　　Critical care, however, is not only practiced in critical care units.More and more frequently PACUs are substituting for the insufficiency of critical care beds.Medical management of these patients while they are either awaiting a bed in the ICU or for definitive treatment wiLl often occur in the PACU.Appropriate resources and personnel must be available therefore in the PACU to serve these patients in a manner that is similar to what would be done in a well-defined unit.

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