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Principles of Physiology for the Anaesthetist 3rd New edition [Mīkstie vāki]

(Professor Emeritus, The University of Edinburgh, UK), (University of Sydney, St Leonards, NSW, Australia)
  • Formāts: Paperback / softback, 500 pages, height x width: 246x189 mm, weight: 1066 g, text is black + PMS 293; Approx. 109 equations; 27 Tables, black and white; 339 Illustrations, black and white
  • Izdošanas datums: 24-Feb-2015
  • Izdevniecība: Hodder Arnold
  • ISBN-10: 1444135236
  • ISBN-13: 9781444135237
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  • Formāts: Paperback / softback, 500 pages, height x width: 246x189 mm, weight: 1066 g, text is black + PMS 293; Approx. 109 equations; 27 Tables, black and white; 339 Illustrations, black and white
  • Izdošanas datums: 24-Feb-2015
  • Izdevniecība: Hodder Arnold
  • ISBN-10: 1444135236
  • ISBN-13: 9781444135237
Citas grāmatas par šo tēmu:

Principles of Physiology for the Anaesthetist, now in its Third Edition, continues to provide candidates with a "tailor-made" alternative to more general physiology textbooks and delivers information designed and written specifically with the trainee anaesthetist in mind.

The book covers the physiology of all major organ systems, with specific emphasis on the nervous, respiratory, and cardiovascular systems. In addition, special sections on the physiology of pain, the physiology of ageing, and the physiological effects of specific environments—all highly relevant to anaesthetic practice—have been incorporated.

The third edition builds upon several new features introduced in the last edition: learning objectives, areas for reflection, and a handy summary of physiological equations and tables. Copious diagrams throughout support the text and aid in the understanding of difficult concepts.

The authors integrate their teaching experience in physiology into the content to improve the understanding of the fundamentals of human physiology in relation to the work of the anaesthetist. This book will remain an invaluable reference throughout anaesthetic training and beyond, as well as a useful revision aid.

Preface to the first edition xiii
Preface to the second edition xv
Preface to the third edition xvii
Authors xix
Contributors xxi
1 Physiology of excitable cells 1(38)
Introduction
1(1)
Membrane potential
1(1)
Resting membrane potential
2(5)
Action potentials
7(2)
Propagated action potential
9(2)
Ionic basis of the cardiac action potential
11(2)
Action potential in muscle
13(1)
Voltage-gated ion channels
13(1)
Sodium channels
14(2)
Potassium channels
16(1)
Calcium channels
16(1)
Neurotransmitters and receptors: Ion channels, G proteins and second messengers
16(1)
G proteins
17(1)
Second messengers
18(1)
Acetylcholine
18(1)
Catecholamines
19(1)
Amino acid transmitters
20(1)
Neuropeptide transmitters
20(1)
Opioids
20(1)
Neurotransmitter release in sympathetic ganglia
20(1)
Neuromuscular transmission
21(1)
Overview of neuromuscular transmission
21(3)
Muscle
24(4)
Cardiac muscle
28(1)
Smooth muscle
29(1)
Muscle spindles, golgi tendon organs and spinal reflexes
30(1)
Muscle spindles
30(2)
Golgi tendon organs
32(1)
Spinal reflexes
32(1)
Initiation of skeletal muscle contraction
33(1)
Sensory receptors: Classification
33(1)
Mechanisms of receptor activation
33(1)
Sensation
34(1)
Pain receptors
34(1)
Reflections
35(4)
2 Physiology of the nervous system 39(36)
Neurons
40(2)
Synaptic transmission
42(3)
Neurotransmitters
45(1)
Central and peripheral nervous systems
46(1)
Cerebrospinal fluid
47(3)
Cerebral blood flow and oxygenation
50(1)
Intracranial pressure
50(2)
Brain metabolism
52(1)
Classification of sensorimotor neurons
52(1)
Sensory system
52(5)
Motor function and its control
57(6)
Muscle tone
63(1)
Control of posture
63(1)
Electroencephalography
63(1)
Evoked potentials
64(1)
Consciousness
64(1)
Sleep
65(1)
Autonomic nervous system
66(1)
Hypothalamus
66(1)
Visceral afferent system
67(1)
Autonomic ganglia
68(1)
Sympathetic nervous system
68(1)
Parasympathetic nervous system
69(1)
Neurotransmitters
70(1)
Receptors
71(1)
Reflections
71(4)
3 Respiratory physiology 75(38)
Functions of the respiratory system
76(1)
Functional anatomy of airways, alveoli and pulmonary capillaries
76(1)
Muscles of ventilation
77(1)
Mechanics of lung ventilation
77(1)
Pressures and flow during the breathing cycle
78(1)
Elastic recoil and expansion of the lung
78(2)
Non-elastic forces and expansion of the lung
80(1)
Laminar, transitional and turbulent gas flows
80(1)
Lung volumes
81(1)
Pressure—volume relationships of the respiratory system
82(2)
Lung compliance
84(1)
Airway resistance
85(1)
Work of ventilation
86(1)
Gas exchange in the lungs
87(1)
Rate of transfer of oxygen and carbon dioxide in arterial and venous blood
87(1)
Diffusion of oxygen and carbon dioxide across the alveoli and pulmonary capillaries
88(1)
Alveolar ventilation and dead space
88(1)
Anatomical, alveolar and physiological dead spaces
88(2)
Oxygen and carbon dioxide composition of alveolar gas
90(3)
Venous admixture (shunt)
93(1)
Ventilation—perfusion ratio
94(1)
Carriage of oxygen and carbon dioxide in the blood
95(2)
Oxygen carriage in the blood
97(2)
Carbon dioxide carriage in the blood
99(2)
Pulmonary circulation
101(2)
Control of ventilation
103(1)
Respiratory centre in the medulla
103(1)
Central chemoreceptors
104(1)
Peripheral chemoreceptors
105(1)
Other factors involved in control of ventilation
106(1)
Reflex ventilatory responses
107(2)
Exercise and the control of ventilation
109(1)
Anaesthetic agents and the control of ventilation
109(1)
Breath holding
109(1)
Reflections
110(3)
4 Cardiovascular physiology 113(74)
Functions and layout of the cardiovascular system
114(1)
Pumps and circuitry
115(1)
Distribution of blood volume in the cardiovascular system
116(1)
Heart
117(2)
Cardiac action potentials
119(1)
Ionic basis of the cardiac action potential
120(3)
Conduction of the cardiac action potential
123(1)
Relationship between cardiac action potential, muscle contraction and refractory periods
124(1)
Excitation—contraction coupling in cardiac muscle cells
124(1)
Electrocardiography
125(2)
Mechanical events of the cardiac cycle
127(2)
Biophysical determinants of cardiac muscle contraction
129(1)
Studies of isolated cardiac muscle preparations
130(3)
Studies of mechanical performance of the whole heart
133(1)
Ventricular pressure—volume relationships
134(5)
Physical factors governing blood flow through vessels
139(2)
Observed physiological deviations from Poiseuille's equation
141(2)
Pressure and flow
143(1)
Vessels of the systemic circulation
144(2)
Arteries and arterial blood pressure
146(2)
Arterioles
148(3)
Capillaries
151(3)
Lymphatics
154(1)
Veins and venous return
154(3)
Relationship between venous return and cardiac output
157(4)
Control of the cardiovascular system
161(1)
Functional organization of cardiovascular sympathetic and parasympathetic nerves in the medulla
161(2)
Central nervous system control and integration of the cardiovascular system
163(3)
Efferent pathways and effectors
166(1)
Sensors and measured variables
166(3)
Short-term and long-term regulation of arterial blood pressure
169(1)
Control of special circulations
169(6)
Integrated cardiovascular responses
175(3)
Valsalva manoeuvre
178(1)
Exercise
179(3)
Reflections
182(5)
5 Gastrointestinal physiology 187(20)
Oral cavity
187(1)
Pharynx and oesophagus
188(2)
Stomach
190(7)
Small intestine
197(5)
Large intestine
202(1)
Reflections
203(4)
6 Liver physiology 207(12)
Anatomical aspects
207(2)
Functions of the liver
209(1)
Carbohydrate metabolism
209(1)
Lipid metabolism
210(1)
Bile production
211(1)
Bilirubin metabolism
211(1)
Protein metabolism
212(1)
Phagocytic functions
213(1)
Storage functions
213(1)
Drug metabolism
213(1)
Liver blood flow
214(3)
Reflections
217(2)
7 Renal physiology 219(32)
Functions of the kidneys
220(1)
Fluid and electrolyte balance and dietary requirements
221(1)
Functional anatomy of the kidneys
222(2)
Glomerular filtration
224(3)
Control of renal blood flow
227(2)
Tubular reabsorption and secretion
229(4)
Renal clearance
233(1)
Loop of Henle and production of concentrated urine
234(3)
Summary of tubular handling of the glomerular filtrate
237(2)
Hormonal control of tubular function
239(2)
Control of renal sodium, water and potassium excretion
241(4)
Renal control of acid—base balance
245(3)
Mechanisms of action of diuretic drugs
248(1)
Reflections
249(2)
8 Acid—base physiology 251(18)
Definitions
251(1)
PH system
252(1)
Buffers
252(1)
Hydrogen ion balance
252(1)
Acid—base homeostasis
253(4)
Whole-body (in vivo) titration curves
257(1)
Compensatory mechanisms
257(3)
Clinical effects of acid—base changes
260(1)
Temperature and acid—base control
261(2)
Clinical aspects of acid—base control
263(4)
Reflections
267(2)
9 Physiology of blood 269(30)
Haemopoiesis and its control
269(1)
Red blood cells
270(8)
White blood cells
278(2)
Platelets
280(4)
Coagulation
284(1)
Cell-based theory of coagulation
285(2)
Blood transfusion
287(7)
Plasma
294(2)
Reflections
296(3)
10 Physiology of the immune system 299(26)
Innate immunity
299(8)
Acquired immunity
307(10)
Hypersensitivity
317(3)
Transplant immunology
320(1)
Assessment of immune function
320(3)
Effects of anaesthesia on immune function
323(1)
Reflections
324(1)
11 Endocrine physiology 325(32)
Introduction
325(1)
Hormone production and secretion
326(1)
Regulation of hormone secretion
326(1)
Actions of hormones
327(1)
Hypothalamus
328(2)
Anterior pituitary
330(3)
Posterior pituitary
333(1)
Pancreatic islets
334(6)
Thyroid
340(2)
Calcium metabolism
342(3)
Adrenal cortex
345(4)
Adrenal medulla
349(3)
Erythropoietin
352(1)
Atrial natriuretic factor
353(1)
Sex hormones
354(1)
Reflections
354(3)
12 Metabolism, nutrition, exercise and temperature regulation 357(34)
Cellular respiration
357(1)
Energy compounds
358(1)
Adenosine triphosphate: The currency of cellular energy
359(1)
Anaerobic or aerobic metabolism
359(1)
Basic metabolic pathways
360(3)
Metabolism
363(1)
Catabolic pathways
363(6)
Anabolic pathways
369(1)
Control of metabolic pathways
370(1)
Nutrition
370(2)
Interrelation between fat and carbohydrate metabolism
372(1)
Dietary energy sources
372(1)
Basal metabolic rate
373(1)
Starvation
374(1)
Exercise
375(5)
Cardiovascular responses to exercise
380(1)
Respiratory responses to exercise
381(1)
Muscle and bone responses to exercise
381(1)
Gastrointestinal and endocrine effects
381(1)
Temperature regulation
382(1)
Afferent temperature sensors
382(1)
Central regulation
382(1)
Efferent responses
383(1)
Cutaneous responses to heat
383(2)
Effects of anaesthesia on thermoregulation
385(1)
Physiology of altered temperature and the thermoneutral zone
385(1)
Responses to hypothermia
385(2)
Responses to high temperatures
387(1)
Reflections
387(4)
13 Physiology of pain 391(18)
Introduction
391(1)
Peripheral mechanisms of pain
392(13)
Reflections
405(4)
14 Maternal and neonatal physiology 409(24)
Maternal physiology
409(1)
Demands of pregnancy
409(8)
Physiology of the placenta
417(4)
Perinatal physiology
421(1)
Foetal circulation
421(3)
Foetal respiratory system
424(2)
Haematology
426(1)
Acid-base status
427(1)
Renal function
427(1)
Liver function
428(1)
Metabolic balance
428(1)
Nervous system
428(1)
Thermoregulation
428(2)
Reflections
430(3)
15 Physiology of ageing 433(6)
Functional decline with ageing
433(1)
Changes in the nervous system
434(1)
Changes in the cardiovascular system
434(1)
Changes in the respiratory system
435(1)
Changes in body compartments
436(1)
Changes in renal function
436(1)
Changes in liver function
437(1)
Endocrine changes
437(1)
Thermoregulation
437(1)
Reflections
437(2)
16 Special environments 439(10)
Physiology of diving
439(1)
Physical laws
439(1)
Direct effects of increased pressure
439(2)
Effects of breathing hyperbaric gases
441(1)
Physiological effects of altitude
442(1)
Hypobaric environments
442(1)
Effects of rapid ascent to altitude
442(2)
High-altitude residents
444(1)
Physiology of space travel
445(1)
Physiological effects of weightlessness
446(1)
Reflections
446(3)
Key equations and tables 449(10)
Further reading 459(2)
Index 461
Peter Kam, MBBS, MD, FRCA, FANZCA, FFARCSI, FHKCA (Hon), is the Nuffield Professor of Anaesthetics, Sydney Medical School, University of Sydney, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. His research interests include perioperative platelet dysfunction and pharmacology of inhaled drugs and local anaesthetic drugs.





Ian Power, BSc (Hon), MD, FRCA, FFPMANZCA, FRCS Edin, FRCP Edin, is professor emeritus at the University of Edinburgh in the UK.