A Glossary of Anesthesia and Related Terminology. Second Edition

Transcription

1 A Glossary of Anesthesia and Related Terminology Second Edition

2 Sanford L. Klein A Glossary of Anesthesia and Related Terminology Second Edition With 228 Illustrations Springer-Verlag New York Berlin Heidelberg London Paris Tokyo Hong Kong Barcelona Budapest

3 Sanford L. Klein, DDS, MD Professor and Chairman Department of Anesthesia University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School New Brunswick, NJ USA The first edition was published by Medical Examination Publishing Co., Inc. Library of Congress Cataloging-in-Publication Data Klein, Sanford L. A glossary of anesthesia and related terminology / Sanford L. Klein-2nd ed. p. cm. Includes bibliographical references. ISBN-13: e-isbn-13: DOl: / I. Anesthesia-Dictionaries. 2. Anesthesia-Terminology. I. Title. [DNLM: I. Anesthesia-terminology. WO 213 K64q] RD78.5.K '6'03-dc20 DNLM/DLC for Library of Congress Printed on acid-free paper by Springer-Verlag New York Inc. Softcover reprint of the hardcover 1 st edition 1993 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer-Verlag, 175 Fifth Avenue, New York, NY 10010, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publishers can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Production managed by Christin R. Ciresi; manufacturing supervised by Jacqui Ashri. Typeset by Princeton Editorial Associates, Princeton, NJ

4 This book is dedicated in all humility to Dr. William F. Harrigan, my first chief, who not only rescued me from polishing Pontiacs in Passaic, but who also set an example for achievement that I continue to admire. This book is also dedicated to Dr. Harry Wollman, without whose many kindnesses and, in some instances, deliberate lapses of attention, I could not be where I am today.

5 The author and the publisher of this book have made every effort to ensure that all therapeutic modalities that are recommended are in accordance with accepted standards at the time of publication. The drugs specified within this book may not have specific approval by the Food and Drug Administration in regard to the indications and dosages that are recommended by the author. The manufacturer's package insert is the best source of current prescribing information.

6 Preface to the Second Edition The second edition of this text catches the specialty of anesthesia at what will probably prove to be the apex of its influence and recognition amongst the specialties of medicine. The scientific basis of the specialty is becoming increasingly well delineated. Anesthesiologists have established themselves in local, regional, and national forums as spokespersons not only for the specialty, but also for medicine in general. And the specialty at last may be emerging from the stereotype of a faceless, inarticulate, shy and retiring figure, whose outstanding characteristic was the cloying odor of diethel ether! Technology has moved into the specialty on seven league boots. Just as an example, the basic design of the anesthesia machine was stable between the early 1950s and certainly the late 1970s. Suddenly, in the blink of an eye, our anesthesia machines are becoming intelligent, are utilizing heads-up displays, and are becoming more and more capable of writing the anesthesia record. Monitoring standards for anesthesia have burgeoned to the point that almost every aspect of the specialty is impinged upon by some rule and some "thou will or thou will not." The importation and creation of terminology is exploding. In fact, one of the problems in updating this book was deciding when to stop. The author hopes that the goal of creating a snapshot in time through definitions of commonly used words and phrases has been achieved. Furthermore, I hope this book will be very helpful to new and old practitioners of the specialty by meeting its primary goal of providing a common language and a common understanding of language in the specialty without which clear discourse is impossible. In conclusion, I would like to thank Ms. Lenore Stewart, who was of immense help with her perseverance, her artistry, and her editing and assembling skills in making this new edition a real living and breathing entity, and the other members of my department, from the residents to the senior staff, who contributed their time and efforts in reviewing and critiquing the various elements of this text. vii