Illustrated Manual of Regional Anesthesia Conception, Realization, C
Professor Philip Bromage From the earliest stirrings of modern surgical anesthesia, novice surgeons struggling to learn from the living what there was a strong intuitive feeling that anesthesia of part they were denied an opportunity to learn from the dea
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Illustrated Manual of
Regional Anesthesia Coneeption, Realization, Consultation, Organization: Bureaux Bassier, Karlsruhe, FRG Artist: Wolfgang Rost, Graphie-Design
With 300 transparencies, mostly in color, and text brochure with 96 figures
Springer-Verlag Berlin Heidelberg New York London Paris Tokyo
Professor P. Prithvi Raj, M. D. Department of Anesthesiology, University of Texas Medical School 5020 MSMB 6471 Fannin, Houston, Texas 77030, U.SA Univ. Professor Dr. med. Hans Nolte Klinikum Minden, Institut für Anästhesiologie Friedrichstraße 17, 4950 Minden, FRG Professor Dr. med. Michael Stanton·Hicks, M.B., B.S., F.FAR.C.S. Klinikum der Johannes Gutenberg-Universität, Klinik für Anästhesiologie Langenbeckstraße 1, 6500 Mainz 1, FRG
ISBN 978-3-642-52261-1 ISBN 978-3-642-71221-0 (eBook) DOI 10.10071978-3-642-71221-0
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in otherways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law.
© Springer-Verlag Berlin Heidelberg 1988 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book.ln every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Typesetting: Hagedom-Satz, Berlin, FRG Reproduction of transpareneies: JUP, Industrie- und Presseklischee, Berlin, FRG
2119/3020-543210
We dedicate this book to all of our loved ones
Contents
Foreword by P. Bromage .....................
IX
Foreword by H. Killian. . . . . . . . . . . . . . . . . .. .. .. . .
XI
Foreword by A. Fortuna. . . . . . . . . . . . . . . . . . . . . .. XIII Preface ...................................... XV
Chapter I: Principles of Management A. Preparation of the Surgical Patient for Regional Anesthesia 1. Preoperative Phase .......................... . 2. Quality and Duration of Block .................. . 3. Planning for the Recovery Period ................ 4. Performance of Block . . . . . . . . . . . . . . . . . . . . . . . . . 5. Management of Patient During Surgery . . . . . . . . . . . . 6. Postoperative Management . . . . . . . . . . . . . . . . . . . . .
2 2 4 4
B. Physiologic Changes Due to Regional Anesthesia: Comparison with General Anesthesia . . . . . . . . . . . . . . . . 1. Intraoperative Period . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Immediate
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