Innovations in Physiological Anaesthesia and Monitoring
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Innovations in Physiological Anaesthesia and Monitoring
With 98 figures
Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong
Dr. med. R. Droh Dr. med. R. Spintge Sportkrankenhaus Hellersen Paulmannshoher StraBe 17 D-5880 Liidenscheid, FRG
ISBN-13: 978-3-540-50331-6 e-ISBN-13:978-3-642-74114-2 DOl: 10.1007/978-3-642-74114-2 Library of Congress Cataloging-in-Publication Data Innovations in physiological anaesthesia and monitoring 1 R. Droh. R. Spintge (eds.) p. cm. ISBN-13:978-3-S40-S0331-6 (U.S.: alk. paper) 1. Anesthesia. 2. Patient monitoring. I. Droh, R. (Roland) II. Spintge, R. [DNLM: 1. Anesthesia. Monitoring, Physiologic. WO 200 158] RD82.I53 1989 617.9'6--dc20 DNLMlDLC for Library of Congress 89-21627 This work is subject to copyright. All rights are reserved, whether the whole or part of the materials is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting reproduction on microfilms or in other ways, 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 1989
The use of registered names, trademarks, etc. in the 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. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.
2119/3140-543210 - Printed on acid-free paper
Preface
At present there are going on decisive developments in the introduction of physiological thinking into anaesthesiological practice. These innovative motion comprises applications taken from space physiology, closed-circuit ventilation systems, neurophysiologic control of circulation and ventilation together with innovative aspects of circulation physiology and respiration physiology. Involved are innovative aspects of neuromuscular blockade, volatile anaesthetics, cardiorespiratoric monitoring, haemodilution and blood substitution. Special emphasis is put on demonstrating the closed circuit system as a combination of anaesthesia system and monitoring system in daily clinical routine. Additional knowledge and investigation are stimulated in the fields of anaesthesia, neurophysiology, pharmacology, space medicine and metabolic physiology using non-invasive methods of monitoring like the evaluation or the neurovegetative status of man and its addaptive changes. Combining these aspects and systems will provide a quite new analytic and synergetic power in the direction of physiological anaesthesia and monitoring which finally will result in a totally