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MILLER’S ANESTHESIA REVIEW 66485457-66485438 www.ketabpezeshki.com MILLER’S ANESTHESIA REVIEW SECOND EDITION Lorraine M. Sdrales, MD Attending Anesthesiologist Cedars-Sinai Medical Center Los Angeles, California Ronald D. Miller, MD Professor of Anesthesia and Perioperative Care Department of Anesthesia and Perioperative Care University of California, San Francisco, School of Medicine San Francisco, California 66485457-66485438 www.ketabpezeshki.com 1600JohnF.KennedyBlvd. Ste1800 Philadelphia,PA19103-2899 MILLER’SANESTHESIAREVIEW 978-1-4377-2793-7 Copyright#2013bySaunders,animprintofElsevierInc. Copyright#2001byChurchillLivingstone,animprintofElsevierInc. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicor mechanical,includingphotocopying,recording,oranyinformationstorageandretrievalsystem,without permissioninwritingfromthepublisher.Detailsonhowtoseekpermission,furtherinformationabout thePublisher’spermissionspoliciesandourarrangementswithorganizationssuchastheCopyright ClearanceCenterandtheCopyrightLicensingAgency,canbefoundatourwebsite:www.elsevier.com/ permissions. ThisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythePublisher (otherthanasmaybenotedherein). Notices Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperience broadenourunderstanding,changesinresearchmethods,professionalpractices,ormedicaltreatment maybecomenecessary. Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluating andusinganyinformation,methods,compounds,orexperimentsdescribedherein.Inusingsuch informationormethodstheyshouldbemindfuloftheirownsafetyandthesafetyofothers,including partiesforwhomtheyhaveaprofessionalresponsibility. Withrespecttoanydrugorpharmaceuticalproductsidentified,readersareadvisedtocheckthemost currentinformationprovided(i)onproceduresfeaturedor(ii)bythemanufacturerofeachproduct tobeadministered,toverifytherecommendeddoseorformula,themethodanddurationof administration,andcontraindications.Itistheresponsibilityofpractitioners,relyingontheirown experienceandknowledgeoftheirpatients,tomakediagnoses,todeterminedosagesandthebest treatmentforeachindividualpatient,andtotakeallappropriatesafetyprecautions. Tothefullestextentofthelaw,neitherthePublishernortheauthors,contributors,oreditors,assume anyliabilityforanyinjuryand/ordamagetopersonsorpropertyasamatterofproductsliability, negligenceorotherwise,orfromanyuseoroperationofanymethods,products,instructions,orideas containedinthematerialherein. LibraryofCongressCataloging-in-PublicationData Sdrales,LorraineM. Miller’sanesthesiareview/LorraineM.Sdrales,RonaldD.Miller.–2nded. p.;cm. Rev.ed.of:Anesthesiareview:astudyguidetoAnesthesia,fiftheditionandBasicsofanesthesia,fourth edition/LorraineM.Sdrales,RonaldD.Miller;consultingeditor,RobertK.Stoelting.c2001. Includesbibliographicalreferencesandindex. ISBN978-1-4377-2793-7(pbk.:alk.paper) I.Miller,RonaldD.,1939-II.Sdrales,LorraineM.Anesthesiareview.III.Title. [DNLM:1.Anesthesia–ExaminationQuestions.WO218.2] 617.906076–dc23 2012009621 ExecutiveContentStrategist:WilliamRSchmitt ContentDevelopmentSpecialist:JuliaBartz PublishingServicesManager:PatriciaTannian ProductionManager:HemamaliniRajendrababu ProjectManager:AntonyPrince DesignDirection:LouisForgione PrintedinUnitedStatesofAmerica Lastdigitistheprintnumber: 9 8 7 6 5 4 3 2 1 66485457-66485438 www.ketabpezeshki.com CONTRIBUTORS Meredith C.B. Adams, MD Adam Collins, MD Assistant Professor, Departments of Anesthesiology, Associate Professor, Department of Anesthesia and Psychiatry, and Neurology, University of Florida; Perioperative Care, University of California, Section Chief, Pain Medicine, North Florida/South San Francisco, School of Medicine, San Francisco, Georgia Veterans Health System, Gainesville, California Florida Anil de Silva, MD Dean B. Andropoulos, MD,MHCM Professor, Department of Anesthesia and Perioperative Chief of Anesthesiology, Department of Pediatric Care, University of California, San Francisco, School Anesthesiology, Texas Children’s Hospital; Professor, of Medicine, San Francisco, California Department of Anesthesiology and Pediatrics, Baylor College of Medicine, Houston, Texas Ken Drasner, MD Professor of Clinical Anesthesia, Department of Anesthesia and Perioperative Care, University of Sheila R. Barnett, MD California, San Francisco, School of Medicine, Associate Professor of Anesthesiology, Harvard Medical San Francisco, California School, Beth Israel Deaconess Medical Center, Boston, Massachusetts Helge Eilers, MD AssociateProfessor,DepartmentofAnesthesiaand Luca M. Bigatello, MD PerioperativeCare,UniversityofCalifornia, Director, Surgical Critical Care, Department of SanFrancisco,SchoolofMedicine,SanFrancisco, Anesthesiology and Pain Medicine, St. Elizabeth’s California Medical Center, Boston, Massachusetts John Feiner, MD Thomas J.J. Blanck, MD,PhD Professor, Department of Anesthesia and Perioperative Professor and Chairman, Department of Anesthesiology, Care, University of California, San Francisco, School of Professor of Physiology and Neuroscience, New York Medicine, San Francisco, California University Langone Medical Center, New York, New York Alana Flexman, MD Clinical Assistant Professor, Department of Anesthesia Lundy Campbell, MD and Perioperative Care, University of California, Associate Clinical Professor, Department of Anesthesia San Francisco, School of Medicine, San Francisco, and Perioperative Care, University of California, California San Francisco, School of Medicine, San Francisco, California Charles J. Fox, MD ViceChairforAcademics,DepartmentofAnesthesiology, Lydia Cassorla, MD Tulane University Medical Center, New Orleans, Professor, Department of Anesthesia and Perioperative Louisiana Care, University of California, San Francisco, School of Medicine, San Francisco, California William R. Furman, MD Professor of Anesthesiology and Surgery, Vice Chair for Daniel Cole, MD Clinical Affairs, Department of Anesthesiology, Professor of Anesthesiology, College of Medicine Mayo Vanderbilt University School of Medicine; Executive Clinic;Chair,DepartmentofAnesthesiology,MayoClinic Medical Director, Perioperative Services, Vanderbilt Arizona, Phoenix, Arizona University Hospital, Nashville, Tennessee v 66485457-66485438 www.ketabpezeshki.com Contributors Steven Gayer, MD,MBA Eric Y. Lin, MD Professor, Department of Anesthesiology and Assistant Professor, Department of Anesthesia and Ophthalmology, The Bascom Palmer Eye Institute, Perioperative Care, University of California, University of Miami School of Medicine, Miami, Florida San Francisco, School of Medicine, San Francisco, California David B. Glick, MD,MBA Associate Professor, Department of Anesthesia and Lawrence Litt, PhD,MD Critical Care, University of Chicago; Medical Director, Emeritus Professor, Departments of Anesthesia and Pre- and Post-Anesthesia Care Units, University of Perioperative Care, and Radiology, University of Chicago, Chicago, Illinois California, San Francisco, School of Medicine, San Francisco, California Erin A. Gottlieb, MD Assistant Professor, Department of Pediatrics and Henry Liu, MD Anesthesiology, Baylor College of Medicine; Attending Associate Professor of Anesthesiology, Director of Anesthesiologist, Division ofPediatricCardiovascular Cardiothoracic and Vascular Anesthesia, Tulane Anesthesiology,TexasChildren’sHospital,Houston,Texas University Medical Center, New Orleans, Louisiana Tula Gourdin, MBA Linda Liu, MD Analyst, Department of Anesthesia and Perioperative Professor, Department of Anesthesia and Perioperative Care, University of California, San Francisco, School Care, University of California, San Francisco, School of of Medicine, San Francisco, California Medicine, San Francisco, California Michael A. Gropper, MD,PhD Jennifer Lucero, MD Professor and Executive Vice Chairman, Department AssistantProfessor,DepartmentofAnesthesiaand of Anesthesia and Perioperative Care, University of PerioperativeCare,UniversityofCalifornia,SanFrancisco, California, San Francisco; Director, Critical Care SchoolofMedicine,SanFrancisco,California Medicine,UniversityofCalifornia,SanFranciscoMedical Center, San Francisco, California Anuj Malhotra, MD Pain Management Fellow, Department of Anesthesia, Jennifer E. Hofer, MD Stanford University, Palo Alto, California Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago Medical Vinod Malhotra, MD Center, Chicago, Illinois Professor, Department of Anesthesiology and Urology, Vice Chair for Clinical Affairs, Clinical Director of the Robert W. Hurley, MD,PhD Operating Rooms, Weill Cornell Medical College and Associate Professor, Departments of Anesthesiology, Medical Center, New York, New York Neurology, Orthopaedics and Rehabilitation, and Psychiatry,UniversityofFlorida;ChiefofPainMedicine, College of Medicine, University of Florida; Medical Rachel Eshima McKay, MD Clinical Professor, Department of Anesthesia and Director, University of Florida Pain and Spine Center, Perioperative Care, University of California, Gainesville, Florida San Francisco, School of Medicine, San Francisco, California Steve Hyman, MD,MM Associate Professor of Clinical Anesthesiology, Department of Anesthesiology, Vanderbilt University Pankaj Mehta, MD School of Medicine, Nashville, Tennessee FacultyofInterventionalPainMedicine,ClevelandClinic Foundation, Cleveland, Ohio Alan David Kaye, MD,PhD Professor and Chairman, Department of Anesthesiology, Douglas G. Merrill, MD,MBA Professor,DepartmentofPharmacology,LouisianaState Professor of Anesthesiology, Dartmouth Medical School; University School of Medicine-New Orleans, New Director, The Center for Perioperative Services; Medical Orleans, Louisiana Director, Outpatient Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire Jae-Woo Lee, MD Associate Professor in Residence, Department of Ronald D. Miller, MD Anesthesiology and Perioperative Care, University of Professor, Department of Anesthesia and Perioperative California, San Francisco, School of Medicine, San Care, University of California, San Francisco, School Francisco, California of Medicine, San Francisco, California vi 66485457-66485438 www.ketabpezeshki.com Contributors Theodora K. Nicholau, PhD,MD David Shimabukuro, MDCM ClinicalProfessor,DepartmentofAnesthesiaand Associate Professor, Department of Anesthesia and PerioperativeCare,UniversityofCalifornia,SanFrancisco, Perioperative Care, University of California, SchoolofMedicine,SanFrancisco,California San Francisco, School of Medicine, San Francisco, California Howard D. Palte, MBChB,FCA(SA) Assistant Professor, Department of Anesthesiology, Randolph H. Steadman, MD University of Miami, Miami, Florida ProfessorandViceChair,DepartmentofAnesthesiology, David Geffen School of Medicine at University of Anup Pamnani, MD California, Los Angeles, Los Angeles, California AssistantProfessor,DepartmentofAnesthesiology,Weill Cornell Medical College, New York, New York Greg Stratmann, MD,PhD Associate Professor, Department of Anesthesia and Siamak Rahman, MD Perioperative Care, University of California, Associate Clinical Professor, Department of San Francisco, School of Medicine, San Francisco, Anesthesiology, University of California, Los Angeles, California Los Angeles, California Bobbie Jean Sweitzer, MD James P. Rathmell, MD Professor, Departments of Anesthesiology and Critical Professor of Anesthesia, Harvard Medical School; Vice Care and Medicine, University of Chicago; Director, Chair and Chief, Division of Pain Medicine, Department Anesthesia Perioperative Medicine Clinic, University of Anesthesia, Critical Care, and Pain Medicine, of Chicago Medical Center, Chicago, Illinois Massachusetts General Hospital, Boston, Massachusetts Pekka Talke, MD Mark Rollins, MD,PhD Professor, Chief of Neuroanesthesia, Department of AssociateProfessor,DepartmentofAnesthesiaand Anesthesia and Perioperative Care, University of PerioperativeCare,UniversityofCalifornia,SanFrancisco, California, San Francisco, School of Medicine, SchoolofMedicine,SanFrancisco,California San Francisco, California Andrew D. Rosenberg, MD Arthur W. Wallace, MD,PhD Chief, Department of Anesthesiology, New York Professor in Residence and Vice Chair, Department University Hospital For Joint Diseases; Executive Vice- of Anesthesia and Perioperative Care, University Chair, Department of Anesthesiology, New York ofCalifornia,SanFrancisco,SchoolofMedicine;Chiefof University School of Medicine, New York, New York Anesthesia, Veterans Affairs Medical Center, San Francisco, California Patricia Roth, MD Professor, Department of Anesthesia and Perioperative Jeffrey D. Wilkinson, MD Care, University of California, San Francisco, School of South County Anesthesia Associates; Chairman, Quality Medicine, San Francisco, California Committee of the Board, St. Anthony’s Medical Center, St. Louis, Missouri Isobel A. Russell, MD,PhD,FACC Professor, Department of Anesthesia and Perioperative Victor W. Xia, MD Care, University of California, San Francisco, School of Associate Clinical Professor, Department of Medicine;Chief,CardiacAnesthesiaServices,University Anesthesiology, David Geffen School of Medicine at of California, San Francisco Medical Center, University of California, Los Angeles, Los Angeles, San Francisco, California California vii 66485457-66485438 www.ketabpezeshki.com 66485457-66485438 www.ketabpezeshki.com

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Miller's anesthesia review / Lorraine M. Sdrales, Ronald D. Miller. – 2nd ed. Describe how the Stewart strong ion difference approach works. 35.
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