1 2 1 2 P H 2 3 T 8 4 3 4 2 3ml 1 6
2A100mg 3 2 9mg/ml 2ml 100mg 1 50mg 22cm 6 5 6 9 12cm 20 22cm 19 21cm 1 2cm 2 3 7 4l 2l 8 8 5 7 6l/ x 8 2 1 second gas effect p.53 1 1 Prologue 7
100 O 2 9 OKOK OK 10 air 11 11 12 12 one shot 2 9 2 1 10 TOFp.67 1-1 preoperative evaluation 8
1. 2. 3. 5. 4. 6. awake intubation premedication tracheal intubation H 2 p.23 ventilation induction rapid induction slow induction full stomach rapid sequence induction N 2O rocuronium vecuronium Prologue 9
muscle relaxant laryngospasm hiccup bucking muscle twitch acetylcholineach ACh ACh ACh ACh 5 2 2 ACh 5-1 5-2 ACh 1 ACh 2 2 1 2 ACh ACh ACh acetylcholinesterase choline 1 2msec choline acetyltransferasechat ACh 32
CoAACh CoA ACh ACh (ACh) ACh ChE ACh2 ACh K + Na + nicotinic action muscarinic action ACh 5-3 ACh ACh 17 ACh 2 33
ACh 2 2 ACh A ACh 1 2 B ChE 1 ACh 34
depolarizing muscle relaxant ChE suxamethonium succinylcholine chloride ACh 5-2 ACh msec ACh 2 2 COOCH 2CH 2N CH 3 3 CH 2 2 2Cl 2H 2 O COOCH 2 CH 2 N CH 3 3 A 2 ChE A B 1 ACh 1 ACh ChE 1 35
epidural anesthesia epidural space 1 3cmH 2O 1cmH 2O 0.5cmH 2O loss of resistance method3-11 hanging drop method 3-12 Tuohy 120
3-12 16 3-13 2.5 4mm 5 6mm 1 10 test dose3ml g g g 17 1 4cm 121
p.110 p.115 1 Trendelenburg Fowler 1.5 2ml/ 0.3 0.5ml/ complication total spinal blocktsb 2 3ml 1 1.5 2ml 10ml 20 30ml 122
toxic reaction p.106 epidural abscess p.118 p.108 3-4 g g g g g g g g g g 123
g g segmental anesthesia differential anesthesia caudal anesthesia caudal block 3-14 sacral hiatus combined spinal-epidural anesthesiacsea retrobulbar anesthesia retrobulbar block 2 3ml 124
topical anesthesia p.105 procaine 0.5 1 nerve block infiltration anesthesia field block 50 80 125
18 brachial plexus block C 5 T 1 interscalene approach 4-1 Horner supraclavicular approach 1 axillary approach 4-2 126
digital block infiltration anesthesia D 2 2 1 2ml 10ml Oberst Oberst 4-3 19 intercostal nerve block 4-4 5 6 7 8 9 10 stellate ganglion block 1 3 7 C 7 127