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Sumario Anestesiología fácil para estudiar completo
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, NOTAA medicina é uma ciência em constante evolução. À medida que novas pesquisas e a própria experiência clínica
ampliam o nosso conhecimento, são necessárias modificações na terapêutica, em que também se insere o uso de
medicamentos. Os autores desta obra consultaram as fontes consideradas confiáveis, num esforço para oferecer
informações completas e, geralmente, de acordo com os padrões aceitos à época da publicação. Entretanto, tendo
em vista a possibilidade de falha humana ou de alterações nas ciências médicas, os leitores devem confirmar essas
informações com outras fontes. Por exemplo, e em particular, os leitores são aconselhados a conferir a bula comple-
ta de qualquer medicamento que pretendam administrar, para se certificar de que a informação contida neste livro
está correta e de que não houve alteração na dose recomendada nem nas precauções e contraindicações para o seu
uso. Essa recomendação é particularmente importante em relação a medicamentos introduzidos recentemente no
mercado farmacêutico ou raramente utilizados.
F981 Fundamentos de anestesiologia clínica [recurso eletrônico] / Paul
G. Barash... [et al.] ; tradução: Jussara N. T. Burnier, Renate
Muller ; revisão técnica: André Schwertner, Patrícia
Wajnberg Gamermann. – Porto Alegre : Artmed, 2017.
Editado como livro impresso em 2017.
ISBN 978-85-8271-421-8
1. Anestesiologia – Fundamentos. I. Barash, Paul G.
CDU 612.887
Catalogação na publicação: Poliana Sanchez de Araujo – CRB 10/2094
, Tradução:
Jussara N. T. Burnier
Renate Muller
Revisão técnica desta edição:
André Schwertner
Médico anestesiologista. Doutorando do Programa de Pós-Graduação em Medicina:
Ciências Médicas da Universidade Federal do Rio Grande do Sul.
Patrícia Wajnberg Gamermann
Médica anestesiologista. Chefe da Unidade de Residência Médica e Pesquisa do Serviço de Anestesia e
Medicina Perioperatória do Hospital de Clínicas de Porto Alegre (SAMPE/HCPA). Responsável pelo
Centro de Ensino e Treinamento (CET/SBA) do SAMPE/HCPA – Área de atuação em Dor e Acupuntura.
Título Superior em Anestesiologia pela Sociedade Brasileira de Anestesiologia (SBA).
Pós-Graduação em Cuidados do Paciente com Dor pelo Instituto Sírio Libanês de Ensino e Pesquisa.
Versão impressa
desta obra: 2017
2017
,Obra originalmente publicada sob o título Clinical anesthesia fundamentals, 1st Edition
ISBN 9781451194371
Copyright © 2015 Lippincott Williams & Wilkins, a Wolters Kluwer business.
Published by arrangement with Lippincott Williams & Wilkins/Wolters Kluwer Health Inc. USA
Lippincott Williams & Wilkins/Wolters Kluwer Health did not participate in the translation of this
title.
Gerente editorial: Letícia Bispo de Lima
Colaboraram nesta edição:
Editora: Mirian Raquel Fachinetto
Preparação de originais: Alda Rejane Barcelos Hansen
Leitura final: Frank Holbach Duarte
Capa: Márcio Monticelli
Editoração: Techbooks
Reservados todos os direitos de publicação, em língua portuguesa, à
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,Autores
Paul G. Barash, MD M. Christine Stock, MD
Professor Professor and Chair
Department of Anesthesiology Department of Anesthesiology
Yale University School of Medicine Northwestern University Feinberg
Attending Anesthesiologist School of Medicine
Yale-New Haven Hospital Chicago, Illinois
New Haven, Connecticut
Rafael Ortega, MD
Bruce F. Cullen, MD Professor
Emeritus Professor Vice-Chairman of Academic Affairs
Department of Anesthesiology Department of Anesthesiology
University of Washington School of Medicine Boston University School of Medicine
Seattle, Washington Boston, Massachusetts
Robert K. Stoelting, MD Sam R. Sharar, MD
Emeritus Professor and Past Chair Professor
Department of Anesthesia Department of Anesthesiology
Indiana University School of Medicine and Pain Medicine
Indianapolis, Indiana University of Washington School
of Medicine
Michael K. Cahalan, MD Seattle, Washington
Professor and Chair
Department of Anesthesiology
The University of Utah School of Medicine
Salt Lake City, Utah
Aaron M. Joffe, DO Adriana Dana Oprea, MD
Associate Professor Assistant Professor
Department of Anesthesiology Department of Anesthesiology
and Pain Medicine Yale University School of Medicine
University of Washington School Associate Director, Preadmission Testing Clinic
of Medicine Yale New Haven Hospital
Harborview Medical Center New Haven, Connecticut
Seattle, Washington
Alan Jay Schwartz, MD, MSEd
Abbas Al-Qamari, MD Professor
Assistant Professor Department of Anesthesiology and Critical Care
Department of Anesthesiology University of Pennsylvania Perelman
Northwestern University Feinberg School of Medicine
School of Medicine Director of Education
Chicago, Illinois Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
,vi Autores
Alexander M. DeLeon, MD Babak Sadighi, MD
Assistant Professor Resident
Department of Anesthesiology Department of Anesthesiology
Northwestern University Feinberg Boston University School of Medicine
School of Medicine Boston Medical Center
Associate Chair, Education Boston, Massachusetts
Northwestern Memorial Hospital
Chicago, Illinois Barbara M. Scavone, MD
Professor
Amy E. Vinson, MD, FAAP Department of Anesthesia and Critical Care;
Instructor in Anesthesia Obstetrics and Gynecology
Department of Anesthesiology, Perioperative, University of Chicago
and Pain Medicine Chief, Division of Obstetric Anesthesia
Harvard Medical School University of Chicago Medicine
Assistant in Perioperative Anesthesia Chicago, Illinois
Boston Children’s Hospital
Boston, Massachusetts Benjamin M. Sherman, MD
TeamHealth Anesthesia
Andreas Grabinsky, MD Legacy Good Samaritan Hospital
Assistant Professor Portland, Oregon
Department of Anesthesiology and Pain Medicine
University of Washington School of Medicine Candice R. Montzingo, MD, FASE
Harborview Medical Center Associate Professor
Seattle, Washington Department of Anesthesiology
University of Utah
Antoun Koht, MD Salt Lake City, Utah
Professor of Anesthesiology, Neurological Surgery,
and Neurology Casper Claudius, MD, PhD
Department of Anesthesiology Staff Specialist
Northwestern University Feinberg Department of Intensive Care
School of Medicine Copenhagen University Hospital
Chicago, Illinois Copenhagen, Denmark
Ashley N. Agerson, MD Christopher J. Hansen, DO
Assistant Professor Resident in Anesthesiology
Department of Anesthesiology Department of Anesthesiology
Northwestern University Feinberg School of Boston School of Medicine
Medicine Boston, Massachusetts
Attending Physician
Northwestern Memorial Hospital Christopher W. Connor, MD, PhD
Chicago, Illinois Assistant Professor
Departments of Anesthesiology
Aymen A. Alian, MD, MB, BCh and Biomedical Engineering
Associate Professor Boston University School of Medicine
Department of Anesthesia Director of Research
Yale University School of Medicine Boston Medical Center
Associate Director of Ambulatory Surgery Boston, Massachusetts
Yale New Haven Hospital
New Haven, Connecticut
, Autores vii
Armagan Dagal, MD, FRCA Glenn Ramsey, MD
Associate Professor Professor
Department of Anesthesiology and Pain Medicine Department of Pathology
University of Washington School of Medicine Northwestern University Feinberg
Harborview Medical Center School of Medicine
Seattle, Washington Medical Director, Blood Bank
Northwestern Memorial Hospital
Dhanesh K. Gupta, MD Chicago, Illinois
Associate Professor
Departments of Anesthesiology Honorio T. Benzon, MD
and Neurological Surgery Professor
Northwestern University Feinberg Department of Anesthesiology
School of Medicine Northwestern University Feinberg
Director of Neuroanesthesia Research School of Medicine
Northwestern Memorial Hospital Attending Anesthesiologist
Chicago, Illinois Northwestern Memorial Hospital
Chicago, Illinois
Elizabeth E. Hankinson, MD
Chief Resident Isuta Nishio, MD
Department of Anesthesiology Assistant Professor
University of Washington Department of Anesthesiology
Harborview Medical Center and Pain Medicine
Seattle, Washington University of Washington School
of Medicine
Elizabeth M. Thackeray, MD, MPH Attending Anesthesiologist
Associate Professor VA Puget Sound Health Care System
Department of Anesthesiology Seattle, Washington
University of Utah School of Medicine
Salt Lake City, Utah James E. Szalados, MD, MBA, Esq., FCCP,
FCCM, FCLM
Francis V. Salinas, MD Director, Surgical Critical Care and SICU
Clinical Assistant Professor Director Critical Care Telemedicine Services
Department of Anesthesiology and Pain Medicine Rochester Regional Health System
University of Washington School of Medicine Rochester General Hospital
Staff Anesthesiologist Rochester, New York
Virginia Mason Medical Center Professor of Anesthesiology and Medicine
Seattle, Washington University of Rochester School of Medicine
Chief, Surgical Critical Care
Gerardo Rodriguez, MD and Critical Care Telemedicine
Assistant Professor Medical Director, Surgical
Department of Anesthesiology and Neurocritical Care Units
Boston University School of Medicine Rochester General Hospital
Director, East Newton Surgical Intensive Care Unit Rochester, New York
Boston Medical Center
Boston, Massachusetts James R. Zaidan, MD, MBA
Professor and Past Chair
Gina C. Badescu, MD Department of Anesthesiology
Bridgeport Anesthesia Associates Emory University Hospital
Bridgeport, Connecticut Atlanta, Georgia
,viii Autores
Jessica Black, MD Karen J. Souter, MB, BS, FRCA
Resident in Anesthesiology Professor
Department of Anesthesiology Department of Anesthesiology and Pain Medicine
Boston University School of Medicine University of Washington School of Medicine
Boston Medical Center Vice Chair for Education
Boston, Massachusetts University of Washington Medical Center
Seattle, Washington
John F. Bebawy, MD
Assistant Professor Katherine Marseu, MD
Departments of Anesthesiology Lecturer
and Neurological Surgery Department of Anesthesia and Pain Medicine
Northwestern University Feinberg University of Toronto
School of Medicine Staff Anesthesiologist
Chicago, Illinois University Health Network-Toronto General
Hospital
Jonathan B. Mark, MD Toronto, Ontario, Canada
Professor
Department of Anesthesiology Kelly A. Linn, MD
Duke University Medical Center Assistant Professor
Chief, Anesthesiology Service Department of Anesthesiology
Veterans Affairs Medical Center Medical College of Wisconsin
Durham, North Carolina Staff Physician
Clement J. Zablocki Veterans Affairs Medical Center
Jorge A. Gálvez, MD Milwaukee, Wisconsin
Associate Professor
Department of Anesthesiology Kyle E. Johnson, MD
and Critical Care Cardiothoracic Anesthesiologist
University of Pennsylvania Perelman Department of Anesthesiology
School of Medicine Medical Anesthesia Consultants
Pediatric Anesthesiologist McLeod Regional Medical Center
The Children’s Hospital of Philadelphia Florence, South Carolina
Philadelphia, Pennsylvania
Loreta Grecu, MD
Joseph Louca, MD Assistant Professor
Assistant Professor of Anesthesiology Department of Anesthesiology
Department of Anesthesiology Yale University School of Medicine
Boston University School of Medicine Attending Anesthesiologist
Boston, Massachusetts Yale New Haven Hospital
New Haven, Connecticut
Joshua M. Tobin, MD
Director, Trauma Anesthesiology Louanne M. Carabini, MD
Department of Anesthesiology Assistant Professor
University of Southern California Department of Anesthesiology
Keck School of Medicine Northwestern University Feinberg
Los Angeles County Hospital School of Medicine
Los Angeles, California Attending Anesthesiologist
Northwestern Memorial Hospital
Chicago, Illinois
, Autores ix
Mark C. Norris, MD Niels Chapman, MD
Director of Obstetric Anesthesia Professor
Department of Anesthesiology Department of Anesthesiology
Boston Medical Center University of New Mexico
Boston, Massachusetts School of Medicine
Albuquerque, New Mexico
Mary E. Warner, MD
Department of Anesthesiology Paul A. Stricker, MD
Mayo Clinic Assistant Professor
Rochester, Minnesota Department of Anesthesiology
and Critical Care Medicine
Matthew R. Hallman, MD, MS University of Pennsylvania Perelman
Assistant Professor School of Medicine
Department of Anesthesiology and Pain Medicine Attending Anesthesiologist
University of Washington School of Medicine The Children’s Hospital of Philadelphia
Director, Critical Care Medicine Fellowship Philadelphia, Pennsylvania
Harborview Medical Center
Seattle, Washington Paul S. Pagel, MD, PhD
Staff Physician
Meghan E. Rodes, MD Department of Anesthesiology
Assistant Professor Clement J. Zablocki Veterans Affairs
Department of Anesthesiology Medical Center
Northwestern University Feinberg Milwaukee, Wisconsin
School of Medicine
Attending Physician Peter Slinger, MD, FRCPC
Northwestern Memorial Hospital Professor
Chicago, Illinois Department of Anesthesia
University of Toronto
Melissa L. Pant, MD Staff Anesthesiologist
Attending Anesthesiologist Toronto General Hospital
Department of Anesthesiology Toronto, Ontario, Canada
Northwestern Lake Forest Hospital
Lake Forest, Illinois Peter von Homeyer, MD, FASE
Assistant Professor
Natalie F. Holt, MD, MPH Department of Anesthesiology
Assistant Professor and Pain Medicine
Department of Anesthesiology University of Washington School of Medicine
Yale University School of Medicine Attending Physician
Medical Director University of Washington Medical Center
Ambulatory Procedures Unit Seattle, Washington
Veterans Affairs CT Healthcare System
West Haven, Connecticut R. Dean Nava, Jr., MD
Assistant Professor
Naveen Nathan, MD Department of Anesthesiology
Assistant Professor Northwestern University Feinberg
Department of Anesthesiology School of Medicine
Northwestern University Feinberg Chicago, Illinois
School of Medicine
Northwestern Memorial Hospital
Chicago, Illinois
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