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Clinical Anesthesia : Near Misses and Lessons Learned - John G. Brock-Utne

Clinical Anesthesia

Near Misses and Lessons Learned


Published: 14th March 2018
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Residents, fellows, and practising certified registered nurse anesthetists will benefit from the retelling of these actual near misses, the solutions chosen at the time, and a retrospective analysis of those solutions that includes tips for how the problems could have been avoided altogether or resolved differently. An excellent study aid for the American Board of Anesthesiology oral exam and a useful teaching tool for faculty, since near misses such as these are relatively rare and other than reading about them, there really is no way to be prepared to successfully manage such crises. As such, even experienced anesthesiologists and CRNAs will find this to be a worthy purchase.

Table of Contents 1 Case 1: No Fibro-Optic Intubation System - A Potential Problem 2 Case 2: Is the Patient Extubated? 3 Case 3: A Strange Computerized ECG Interpretation 4 Case 4: An Elderly Lady with a Fractured Neck of Femur 5 Case 5: A Spinal Anesthetic That Wears Off Before Surgery Ends. What to Do? 6 Case 6: Just a Simple Monitored Anesthesia Care (MAC) Case 7 Case 7: Smell of Burning in the Operating Room 8 Case 8: A Diabetic Patient for Inguinal Hernia Repair 9 Case 9: The Case of the "Hidden" IV 10 Case 10: Postoperative Painful Eye 11 Case 11: Awake Craniotomy 12 Case 12: Gum Elastic Bougie 13 Case 13: You Smell Anesthesia Vapor. Where Is It Coming From? 14 Case 14: Manual Ventilation of a Patient Turned 180 Degrees Away From the Anesthesia Machine by a Single Operator. Is It Possible? 15 Case 15: Life Threatening Arrhythmia in a 5 Month Old 16 Case 16: Tongue Ring 17 Case 17: Hasty C-Arm Positioning. A Recipe for Disaster. 18 Case 18: Inability to Remove a Nasogastric Tube 19 Case 19: An Unusual Cause of Difficult Tracheal Intubation 20 Case 20: Pulmonary Edema Following Abdominal Laparoscopy 21 Case 21: A Possible Solution to a Difficult Laryngeal Mask Airway Placement 22 Case 22: Postoperative Airway Complication Following Sinus Surgery 23 Case 23: An Unusual Capnograph Tracing 24 Case 24: A Respiratory Dilemma during a Transjugular Intrahepatic Porto-Systemic Shunt Procedure (TIPSS) 25 Case 25: A Tracheotomy is Urgently Needed and You Have Never Done One 26 Case 26: General Anesthesia for a Patient with a Difficult Airway and Full Stomach 27 Case 27: A Jehovah's Witness Patient and a Potentially Bloody Operation 28 Case 28: Laparoscopic Achalasia Surgery 29 Case 29: Sudden Intraoperative Hypotension 30 Case 30: Blood Pressure Difference between a Non-Invasive and an Invasive Blood Pressure Measurement 31 Case 31: Severe Decrease in Lung Compliance during a Code Blue 32 Case 32: Shortening Post-Anesthesia Recovery Time after an Epidural. Is It Possible? 33 Case 33: At Times You Need To Be a MacGyver 34 Case 34: Delayed Cutaneous Fluid Leak from a Puncture Hole after Removal of an Epidural Catheter 35 Case 35: Traumatic Hemothorax and Same Side Central Venous Access 36 Case 36: A Single Abdominal Knife Wound. Easy Case? 37 Case 37: A Draw-Over Vaporizer with a Non-Rebreathing Circuit 38 Case 38: Unexpected Intraoperative "Oozing" 39 Case 39: Central Venous Access and the Obese Patient 40 Case 40: Check Your Facts 41 Case 41: Intraoperative Epidural Catheter Malfunction 42 Case 42: Breathing Difficulties after an ECT 43 Case 43: White "Clumps" in the Blood Sample from an Arterial Line 44 Case 44: Anesthesia for a Surgeon Who Has Previously Lost His Privileges 45 Case 45: Airway Obstruction in an Anesthetized Prone Patient 46 Case 46: A Question You Should Always Ask 47 Case 47: Postoperative Vocal Cord Paralysis 48 Case 48: This Is a Serious Problem 49 Case 49: A Leaking Endotracheal Tube in a Prone Patient 50 Case 50: An Impossible Situation? 51 Case 51: An "Old Trick" But a Potential Serious Problem 52 Case 52: A Loud "Pop" Intra-Operatively and Now You Can't Ventilate 53 Case 53: Postoperative Median Nerve Injury 54 Case 54: A Patient in a Halo 55 Case 55: It Is Now or Never 56 Case 56: General Anesthesia in a Patient with Daily Use of Prescribed Amphetamine 57 Case 57: What Is Wrong With This Picture? 58 Case 58: The One-Eyed Patient 59 Case 59: A Near Tragedy 60 Case 60: Robot Assisted Surgery. A Word of Caution. 61 Case 61: An Airway Emergency in an Out of Hospital Surgical Office 62 Case 62: A Case of Recent Hip Replacement Coming For a Cystoscopy 63 Case 63: A High Glucose Concentration in an Epidural Catheter Aspirate. Should One Be Concerned? 64 Case 64: A General Anesthesia in a Patient Who Has Had a Recent Eye Operation 65 Case 65: Another Awake Craniotomy 66 Case 66: Spinal Fracture and Flail-Segment Rib Fractures Following a Motor Vehicle Accident 67 Case 67: Angioedema in the Emergency Department 68 Case 68: Cranioplasty. Should You Be Concerned? 69 Case 69: More Haste Less Speed 70 Case 70: A Pregnant Patient for a Carpal Tunnel Operation 71 Case 71: A Request to Provide Isoflurane Anesthesia for Treatment of Status Epilepticus 72 Case 72: No Methylene Blue in the Urine. What Would You Do? 73 Case 73: A Right Upper-Lobe Tumor and Concurrent Tracheal Polyp. What Lung Isolation Technique Would You Use? 74 Case 74: Complete Heart Block during Central Line Placement 75 Case 75: Cervical Hematoma Following Neck Surgery 76 Case 76: Transient Language Disturbance Following General Anesthesia 77 Case 77: A Flexible Suction Catheter Complication 78 Case 78: A Neurosurgical Case with a Sudden Disappearance of the Arterial Line Waveform 79 Case 79: Not Another Corneal Abrasion 80 Case 80: A Maxillofacial Operation 81 Case 81: A Patient with a Transplanted Heart for Cholecystectomy 82 Case 82: A High Total Spinal in an Obstetric Patient 83 Case 83: Peroral Endoscopic Myotomy (POEM) 84 Case 84: A Neonatal Emergency 85 Case 85: This Could Be Serious 86 Case 86: A Case of Acoustic Neuroma 87 Case 87: Is the IV Infiltrated? 88 Case 88: Communication is Essential 89 Case 89: Watch Out 90 Case 90: A Simple Case but it Goes On and On 91 Case 91: Endotracheal Intubation in the ICU. Watch Out. 92 Case 92: A Straight Forward Case, or Is It? 93 Case 93: Postoperative Red Urine 94 Case 94: Patient's Toes Suddenly Become White during a Lower Limb Operation 95 Case 95: A Percutaneous Tracheostomy 96 Case 96: A Patient in the Prone Position. Watch Out. 97 Case 97: A Patient with Obstructive Sleep Apnea 98 Case 98: A Case of Wegener Granulomatosis 99 Case 99: What Can Possibly Go Wrong? 100 Case 100: Severe Case of Hyperkalemia during Rapid Blood Transfusion 101 Case 101: A Monitor is Just a Machine 102 Case 102: A Case of Preoperative Sinus Tachycardia 103 Case 103: Bonus Question

ISBN: 9783319714660
ISBN-10: 331971466X
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 342
Published: 14th March 2018
Publisher: Springer International Publishing AG
Country of Publication: CH
Dimensions (cm): 23.5 x 15.5  x 2.13
Weight (kg): 0.61
Edition Number: 2
Edition Type: Revised