Table of Contents
Morgan's Clinical Anesthesiology, 4th Edition .............................................................................................................. 1
Clinical Anesthesiology, 4th Edition ............................................................................................................................................ 1
_Copyright .............................................................................................................................................................................................. 3
_Contributors ........................................................................................................................................................................................ 4
_Preface ................................................................................................................................................................................................. 6
01. The Practice of Anesthesia ..................................................................................................................................................... 8
02. The Operating Room .............................................................................................................................................................. 24
03. Breathing Systems .................................................................................................................................................................. 40
04. The Anesthesia Machine ...................................................................................................................................................... 57
05. Airway Management ............................................................................................................................................................ 109
06. Patient Monitors .................................................................................................................................................................... 143
07. Inhalation Anesthetics ......................................................................................................................................................... 191
08. Nonvolatile Anesthetic Agents ........................................................................................................................................ 220
09. Neuromuscular Blocking Agents .................................................................................................................................... 255
10. Colinesterase Inhibitors ...................................................................................................................................................... 283
11. Anticholinergic Drugs ........................................................................................................................................................... 297
12. Adrenergic Agonists and Antagonists ........................................................................................................................... 304
13. Hypotensive Agents ............................................................................................................................................................. 322
14. Local Anesthetics .................................................................................................................................................................. 333
15. Adjuncts to Anesthesia ....................................................................................................................................................... 349
16. Spinal, Epidural & Caudal Blocks .................................................................................................................................. 368
17. Peripheral Nerve Blocks .................................................................................................................................................... 412
18. Pain Management ................................................................................................................................................................ 456
19. Cardiovascular Physiology & Anesthesia ................................................................................................................... 520
20. Anesthesia for Patients with Cardiovascular Disease ........................................................................................... 555
21. Anesthesia for Cardiovascular Surgery ....................................................................................................................... 614
22. Respiratory Physiology: The Effects of Anesthesia ............................................................................................... 669
23. Anesthesia for Patients with Respiratory Disease .................................................................................................. 716
24. Anesthesia for Thoracic Surgery .................................................................................................................................... 734
25. Neurophysiology & Anesthesia ....................................................................................................................................... 769
26. Anesthesia for Neurosurgery ........................................................................................................................................... 790
27. Anesthesia for Patients with Neurologic & Psychiatric Diseases ..................................................................... 810
28. Management of Patients with Fluid & Electrolyte Disturbances ...................................................................... 829
29. Fluid Management & Transfusion .................................................................................................................................. 868
30. Acid-Base Balance ............................................................................................................................................................... 885
31. Renal Physiology & Anesthesia ...................................................................................................................................... 914
32. Anesthesia for Patients with Renal Disease .............................................................................................................. 937
33. Anesthesia for Genitourinary Surgery .......................................................................................................................... 960
34. Hepatic Physiology & Anesthesia .................................................................................................................................. 980
35. Anesthesia for Patients with Liver Disease ............................................................................................................... 997
36. Anesthesia for Patients with Endocrine Disease .................................................................................................. 1014
37. Anesthesia for Patients with Neuromuscular Disease ....................................................................................... 1034
38. Anesthesia for Ophthalmic Surgery ........................................................................................................................... 1046
39. Anesthesia for Otorhinolaryngological Surgery .................................................................................................... 1060
40. Anesthesia for Orthopedic Surgery ............................................................................................................................ 1075
41. Anesthesia for the Trauma Patient ............................................................................................................................. 1093
42. Maternal & Fetal Physiology & Anesthesia ............................................................................................................. 1109
43. Obstetric Anesthesia ......................................................................................................................................................... 1128
44. Pediatric Anesthesia ......................................................................................................................................................... 1167
45. Geriatric Anesthesia ......................................................................................................................................................... 1204
,46. Anesthetic Complications ............................................................................................................................................... 1214
47. Cardiopulmonary Resuscitation .................................................................................................................................. 1240
48. Postanesthesia Care ........................................................................................................................................................ 1265
49. Critical Care ......................................................................................................................................................................... 1286
,Morgan's Clinical Anesthesiology, 4th Edition Clinical Anesthesiology, 4th Edition
Clinical Anesthesiology, 4th Edition
G. Edward Morgan, Jr., Maged S. Mikhail, Michael J. Murray
Preface Copyright Contributors
CONTENTS
Chapter 1. The Practice of Anesthesiology
Section I: Anesthetic Equipment & Monitors
Chapter 2. The Operating Room: Medical Gas Systems, Environmental Factors, & Electrical Safety
Chapter 3. Breathing Systems
Chapter 4. The Anesthesia Machine
Chapter 5. Airway Management
Chapter 6. Patient Monitors
Section II. Clinical Pharmacology
Chapter 7. Inhalation Anesthetics
Chapter 8. Nonvolatile Anesthetic Agents
Chapter 9. Neuromuscular Blocking Agents
Chapter 10. Cholinesterase Inhibitors
Chapter 11. Anticholinergic Drugs
Chapter 12. Adrenergic Agonists & Antagonists
Chapter 13. Hypotensive Agents
Chapter 14. Local Anesthetics
Chapter 15. Adjuncts to Anesthesia
Section III. Regional Anesthesia & Pain Management
Chapter 16. Spinal, Epidural, & Caudal Blocks
Chapter 17. Peripheral Nerve Blocks
Chapter 18. Pain Management
Section IV. Physiology, Pathophysiology, & Anesthetic Management
Chapter 19. Cardiovascular Physiology & Anesthesia
Chapter 20. Anesthesia for Patients with Cardiovascular Disease
Chapter 21. Anesthesia for Cardiovascular Surgery
Chapter 22. Respiratory Physiology: The Effects of Anesthesia
Chapter 23. Anesthesia for Patients with Respiratory Disease
Chapter 24. Anesthesia for Thoracic Surgery
Chapter 25. Neurophysiology & Anesthesia
Chapter 26. Anesthesia for Neurosurgery
Chapter 27. Anesthesia for Patients with Neurologic & Psychiatric Diseases
1
, Morgan's Clinical Anesthesiology, 4th Edition Clinical Anesthesiology, 4th Edition
Chapter 28. Management of Patients with Fluid & Electrolyte Disturbances
Chapter 29. Fluid Management & Transfusion
Chapter 30. Acid–Base Balance
Chapter 31. Renal Physiology & Anesthesia
Chapter 32. Anesthesia for Patients with Renal Disease
Chapter 33. Anesthesia for Genitourinary Surgery
Chapter 34. Hepatic Physiology & Anesthesia
Chapter 35. Anesthesia for Patients with Liver Disease
Chapter 36. Anesthesia for Patients with Endocrine Disease
Chapter 37. Anesthesia for Patients with Neuromuscular Disease
Chapter 38. Anesthesia for Ophthalmic Surgery
Chapter 39. Anesthesia for Otorhinolaryngological Surgery
Chapter 40. Anesthesia for Orthopedic Surgery
Chapter 41. Anesthesia for the Trauma Patient
Chapter 42. Maternal & Fetal Physiology & Anesthesia
Chapter 43. Obstetric Anesthesia
Chapter 44. Pediatric Anesthesia
Chapter 45. Geriatric Anesthesia
Section V. Special Problems
Chapter 46. Anesthetic Complications
Chapter 47. Cardiopulmonary Resuscitation
Chapter 48. Postanesthesia Care
Chapter 49. Critical Care
2
Morgan's Clinical Anesthesiology, 4th Edition .............................................................................................................. 1
Clinical Anesthesiology, 4th Edition ............................................................................................................................................ 1
_Copyright .............................................................................................................................................................................................. 3
_Contributors ........................................................................................................................................................................................ 4
_Preface ................................................................................................................................................................................................. 6
01. The Practice of Anesthesia ..................................................................................................................................................... 8
02. The Operating Room .............................................................................................................................................................. 24
03. Breathing Systems .................................................................................................................................................................. 40
04. The Anesthesia Machine ...................................................................................................................................................... 57
05. Airway Management ............................................................................................................................................................ 109
06. Patient Monitors .................................................................................................................................................................... 143
07. Inhalation Anesthetics ......................................................................................................................................................... 191
08. Nonvolatile Anesthetic Agents ........................................................................................................................................ 220
09. Neuromuscular Blocking Agents .................................................................................................................................... 255
10. Colinesterase Inhibitors ...................................................................................................................................................... 283
11. Anticholinergic Drugs ........................................................................................................................................................... 297
12. Adrenergic Agonists and Antagonists ........................................................................................................................... 304
13. Hypotensive Agents ............................................................................................................................................................. 322
14. Local Anesthetics .................................................................................................................................................................. 333
15. Adjuncts to Anesthesia ....................................................................................................................................................... 349
16. Spinal, Epidural & Caudal Blocks .................................................................................................................................. 368
17. Peripheral Nerve Blocks .................................................................................................................................................... 412
18. Pain Management ................................................................................................................................................................ 456
19. Cardiovascular Physiology & Anesthesia ................................................................................................................... 520
20. Anesthesia for Patients with Cardiovascular Disease ........................................................................................... 555
21. Anesthesia for Cardiovascular Surgery ....................................................................................................................... 614
22. Respiratory Physiology: The Effects of Anesthesia ............................................................................................... 669
23. Anesthesia for Patients with Respiratory Disease .................................................................................................. 716
24. Anesthesia for Thoracic Surgery .................................................................................................................................... 734
25. Neurophysiology & Anesthesia ....................................................................................................................................... 769
26. Anesthesia for Neurosurgery ........................................................................................................................................... 790
27. Anesthesia for Patients with Neurologic & Psychiatric Diseases ..................................................................... 810
28. Management of Patients with Fluid & Electrolyte Disturbances ...................................................................... 829
29. Fluid Management & Transfusion .................................................................................................................................. 868
30. Acid-Base Balance ............................................................................................................................................................... 885
31. Renal Physiology & Anesthesia ...................................................................................................................................... 914
32. Anesthesia for Patients with Renal Disease .............................................................................................................. 937
33. Anesthesia for Genitourinary Surgery .......................................................................................................................... 960
34. Hepatic Physiology & Anesthesia .................................................................................................................................. 980
35. Anesthesia for Patients with Liver Disease ............................................................................................................... 997
36. Anesthesia for Patients with Endocrine Disease .................................................................................................. 1014
37. Anesthesia for Patients with Neuromuscular Disease ....................................................................................... 1034
38. Anesthesia for Ophthalmic Surgery ........................................................................................................................... 1046
39. Anesthesia for Otorhinolaryngological Surgery .................................................................................................... 1060
40. Anesthesia for Orthopedic Surgery ............................................................................................................................ 1075
41. Anesthesia for the Trauma Patient ............................................................................................................................. 1093
42. Maternal & Fetal Physiology & Anesthesia ............................................................................................................. 1109
43. Obstetric Anesthesia ......................................................................................................................................................... 1128
44. Pediatric Anesthesia ......................................................................................................................................................... 1167
45. Geriatric Anesthesia ......................................................................................................................................................... 1204
,46. Anesthetic Complications ............................................................................................................................................... 1214
47. Cardiopulmonary Resuscitation .................................................................................................................................. 1240
48. Postanesthesia Care ........................................................................................................................................................ 1265
49. Critical Care ......................................................................................................................................................................... 1286
,Morgan's Clinical Anesthesiology, 4th Edition Clinical Anesthesiology, 4th Edition
Clinical Anesthesiology, 4th Edition
G. Edward Morgan, Jr., Maged S. Mikhail, Michael J. Murray
Preface Copyright Contributors
CONTENTS
Chapter 1. The Practice of Anesthesiology
Section I: Anesthetic Equipment & Monitors
Chapter 2. The Operating Room: Medical Gas Systems, Environmental Factors, & Electrical Safety
Chapter 3. Breathing Systems
Chapter 4. The Anesthesia Machine
Chapter 5. Airway Management
Chapter 6. Patient Monitors
Section II. Clinical Pharmacology
Chapter 7. Inhalation Anesthetics
Chapter 8. Nonvolatile Anesthetic Agents
Chapter 9. Neuromuscular Blocking Agents
Chapter 10. Cholinesterase Inhibitors
Chapter 11. Anticholinergic Drugs
Chapter 12. Adrenergic Agonists & Antagonists
Chapter 13. Hypotensive Agents
Chapter 14. Local Anesthetics
Chapter 15. Adjuncts to Anesthesia
Section III. Regional Anesthesia & Pain Management
Chapter 16. Spinal, Epidural, & Caudal Blocks
Chapter 17. Peripheral Nerve Blocks
Chapter 18. Pain Management
Section IV. Physiology, Pathophysiology, & Anesthetic Management
Chapter 19. Cardiovascular Physiology & Anesthesia
Chapter 20. Anesthesia for Patients with Cardiovascular Disease
Chapter 21. Anesthesia for Cardiovascular Surgery
Chapter 22. Respiratory Physiology: The Effects of Anesthesia
Chapter 23. Anesthesia for Patients with Respiratory Disease
Chapter 24. Anesthesia for Thoracic Surgery
Chapter 25. Neurophysiology & Anesthesia
Chapter 26. Anesthesia for Neurosurgery
Chapter 27. Anesthesia for Patients with Neurologic & Psychiatric Diseases
1
, Morgan's Clinical Anesthesiology, 4th Edition Clinical Anesthesiology, 4th Edition
Chapter 28. Management of Patients with Fluid & Electrolyte Disturbances
Chapter 29. Fluid Management & Transfusion
Chapter 30. Acid–Base Balance
Chapter 31. Renal Physiology & Anesthesia
Chapter 32. Anesthesia for Patients with Renal Disease
Chapter 33. Anesthesia for Genitourinary Surgery
Chapter 34. Hepatic Physiology & Anesthesia
Chapter 35. Anesthesia for Patients with Liver Disease
Chapter 36. Anesthesia for Patients with Endocrine Disease
Chapter 37. Anesthesia for Patients with Neuromuscular Disease
Chapter 38. Anesthesia for Ophthalmic Surgery
Chapter 39. Anesthesia for Otorhinolaryngological Surgery
Chapter 40. Anesthesia for Orthopedic Surgery
Chapter 41. Anesthesia for the Trauma Patient
Chapter 42. Maternal & Fetal Physiology & Anesthesia
Chapter 43. Obstetric Anesthesia
Chapter 44. Pediatric Anesthesia
Chapter 45. Geriatric Anesthesia
Section V. Special Problems
Chapter 46. Anesthetic Complications
Chapter 47. Cardiopulmonary Resuscitation
Chapter 48. Postanesthesia Care
Chapter 49. Critical Care
2
