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Modern Anesthetics (Hardcover, Revised)
Loot Price: R15,838
Discovery Miles 158 380
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Modern Anesthetics (Hardcover, Revised)
Series: Handbook of Experimental Pharmacology, 182
Expected to ship within 10 - 15 working days
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Some important constraints of anesthesia must be taken into
consideration when the pharmacological properties of modern
anesthetics are discussed. The most imp- tant of these could be
that the target effect be achieved preferably within seconds, at
most within a few minutes. Similarly, offset of drug action should
be achieved within minutes rather hours. The target effects, such
as unconsciousness, are pot- tially life-threatening, as are the
side effects of modern anesthetics, such as respi- tory and
cardiovascular depression. Finally, the patient's purposeful
responses are not available to guide drug dosage, because, either
the patient is unconscious, or more problematically, the patient is
aware but unable to communicate pain because of neuromuscular
blockade. These constraints were already recognised 35 years ago,
when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics"
appeared in this Handbook Series. The present volume is meant as a
follow up and extension of that volume. At the beginning of the
1970's anesthesia was commonly delivered by inhalation, with only
very few exceptions. The clinical understanding of that time
considered anesthesia as a unique state achieved by any of the
inhalation anesthetics, in- pendent of their specific molecular
structure. "The very mechanism of anesthetic action at the
biophase" was discussed within the theoretical framework of the "u-
tary theory of narcosis".
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