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raphic naesthesia = Se Cae A Pearson & B Walton Graphic Anaesthesia Defence Medical Services, Seuthmerd Hospital, Sista Seuthmead Hospital, rate Dr Sonja Payne FREA onsite Southmead Hospital, Brito Intensive Care Medicine and Anaesthesia Dvights resared No are af is book may be epraduced or ransmited non form ory an means, without pemizson ‘ACiP enalogue record fr thie bookie maisble fom the Bish Libra. 158 978 1 907904332 ‘on istinginmed ‘The Old Haylf, Vantage Quine Prk lasham Rose, Banbury OKIE UX, UK somsconpublshing com Important Mot from he Publisher “The information contained within this book was obtained by Scion Publishing Ltd from sources believed by us to be reliable. However, while every et has been sade to ensure te aecuracy, eo responsibility fr ote or nur whateseer aces sloned to any person acting o efisining for acton a result of information corinne herein an be accepted bythe author or publisher Readers ae reminded that medicines «constantly evolving sence and while he suthor and publishers have ensured that all dosages, applications and practices sre bared on current insists, share may be specie pasties stich der between communities ou should aay Follow the gudelines Id down by the manufacturers of specif product andthe relevant authorities inthe country in soho you are pracsing [though ever fort has been made to ensure that all owners of cpyrigh materia hve bean achnowedged in thi publication, we would be pleased to acknowledge ‘nr aubeequet reprints of editions any omiasions brought to our attention Aegntered nares, tederais, ee used inthis book, even when not marked 9 such, are nto be considered unprotected bylaw “ypeserby Mecae Publishing Slatin Pt Le, India Printed inthe UK Contents About the authors Abbrevitions| Ms carding ma (Cardiac acton potential ~ contac cll na Cardiac action potential ~ aston in pacemater potential na raise sele m6 Central venous pressure wet nar Central venous pressure waveform ~ abnormalities na Enthoven tangle bs ection acon equation na0 Eectvocardogram nan ectrocardagram - cardiac ai and Te ve a cardioverter defriaors) Prelon, conc nd feo Vata manoewre clinical applications and physiological normalities Vaughan-illams clase featon \enticuar pressure-volume nop left entre ‘entice pressure-volume Insp right vet Bled fou and oxygen consurprion of organs vee v9 3 ay waa 133 tos 135 135 ‘Staring force in cpillaes ‘Staring force in capillaries ~ pathology ‘Spperic asele resistance Aheslar ges -Aeslac por pressueofaygen and blsed fou Bohr egustion Carbon donde diesciton care and Haldane eect, losing capaci Deadspace and Foulers method oo v3 vs 1586 oon ‘it 1319 ig20 wn wae Dynamic compression of airways Fick pnciple and Hood aw Functional esidul capac ofthe ange Lng pressure-vlume lop Ling volumes and sepaces| Onygencasende ‘Onygendnsocintion cave and Bohr eect Pulmonary vasclr resistance Pulmonary vascler resistance andl vluree ResprteryHouevlure loses Vensiaton-perusion aio Vensiotnyrespane te ctbon datide 143 ory vas v4 vay Mae M49 Me hn he Neurology ‘Acton potent Cerebral blood fom variation wth venation cerebrospinal id Gate conto theory of pain Ginga Coma Scale Intracranial pressure-vlumereltonship Inwecanal pressure weavers Neurotransmitter casifeton Reten are ‘Synaptic ranemision Visual pathway Gomera ration ate Loop ofterle Nephron Rerin-ongictrsin-aiesterone stem ile editor of gt ois, ‘Acid-base diturbancer a ae ate 1 vas Ms ve 192 193 Metabolic Kes gle Lverlobale Nutrition and energy Viarins~ sources and fnction Yarn tov and deficiency Endocrine Asrnal land Adrenergic receptor actions cochelamine srtesie. ypotalamic-pintary-éverl ais anatomy nos ang, vo as ony Hypottlamic-pitutarradera acs —hormenes Inteeverous Ai comnpostion Hoematoloey ‘nsibody Beod grours Coagulation cancade snc) model coagulation ~cellbased mode! Complement cascade Hemlebin Prostanoid shes colar a as mas i Golgi tendon oxgan Muscle spindle Muscle ype 29 Cardiac vessels ~ coronary rein Cirle of ii Crors-action of nck at C6 Crone-astion of pial ord Epidural pace Femoral wiangle Fetal creation 235 223 ae an Lin muscle inneration (etme) ons we Thoracic inlet and Sst ” 8 os be Haltives andre contents Meyer Overton hypothesis Volume of ditribution asin cares ovate gents “ “a Anaesthetic agate ~etoridte Anaesthetic agnts~propefe Loca anaesthetics - mode af ton os 3 4 ss cal ansesteties—propetion Newromusedar blocking agents — non depolarizing pict made of action picts — properties \elatic anaesthetic gents mode of acon Volatile ansestheti agent phsislgical eects Voie anaesthetic agents properties Avogadro's ewe eer-Lamtert ny Cite tparmares nd pressure Dintermy Depper eect 0 a 0 oe os 2 o” ae 9 ects lectiiy Gs eva = Charlee Gs vs = GayLonscs (Tid Pere I as laws ~ ideal gu ew and Dao’ oe Graham's Henn aw Humicy Mate prefiee| vr 538 329 Sourdon geuge Whesatoe bridge ell Mentoring af neuromrurculablackede 2 15 7 ag valve markresusciater Breathing ccute— ciel sytem Breathing ccuts~ Maplesons dassfcaton Cleming and decontamination Continuous renal replacement therapy = extracorporeal rst ca onde Humidier 8 Vertation ~ presureconrled Veriton —woumecontoled een, median ard mode Normal dtibton amber needed to eat ee mo Senet and epee Siprieance est Statistica variability Preface ‘This backs «compendium of the diagrams, graphs, equations ard tables needed for anaesthetic practice It has been writen with the FRCA examinations in ind, although its equally wel sued for eision at ay stage ofan anaesthetic prac loners carer. Senior anesthetats wl ind hi back uteful a an side-memcine wher teaching and etamining tines collegues. Addtonally i hoped wl prove wef to aryone he is loking for short and clear explanations of the fundsmental principles surounding anaesthesia sch page contin 3 separate topes the rlevant cng, argh, eguatien or sable cuscnely deraibed for rapid cola and session. The diagrams an raphe have been specfcaly drain to al them. inthe main tobe easy eepr=

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