+612 9045 4394
Clinical Anesthesia : Near Misses and Lessons Learned :  Near Misses and Lessons Learned - John G. Brock-Utne

Clinical Anesthesia : Near Misses and Lessons Learned

Near Misses and Lessons Learned


Published: December 2007
Ships: 15 business days
15 business days
or 4 easy payments of $26.73 with Learn more

New Edition View Product

Published: 14th March 2018
RRP $300.99

Although near-miss situations are relatively rare in anesthesiology, it is essential to know how to respond if the situation arises. This collection of actual cases, compiled from the authora (TM)s 30+ years practice in major metropolitan hospitals in the US, Sweden and South Africa, is an excellent review of potential problems and solutions all anesthesiologists should be familiar with. The cases are succinct, with the problem and a solution described, then concluded by a retrospective analysis that examines whether the solution used was actually the best (or only) choice, or if other solutions might provide equally satisfactory outcomes. Also included in the analyses are tips to help avoid the problem altogether, when possible. This book is an excellent review for the ABA oral exam and is an easy and practical way to prepare for the unexpected in the daily practice of clinical anesthesia.

Forewordp. vii
Prefacep. ix
Acknowledgmentsp. xi
No Fiberoptic Intubation System: A Potential Problemp. 1
Is the Patient Extubated?p. 3
A Strange Computerized Electrocardiogram Interpretationp. 6
Fractured Neck of Femur in an Elderly Patientp. 10
Spinal Anesthetic That Wears Off Before Surgery Endsp. 12
Just a Simple Monitored Anesthesia Care Casep. 14
Smell of Burning in the Operating Roomp. 17
Inguinal Hernia Repair in a Diabetic Patientp. 19
The Case of the "Hidden" IVp. 22
Postoperative Painful Eyep. 24
Awake Craniotomy with Language Mappingp. 26
Gum Elastic Bougie: Tips for Its Usep. 28
External Vaporizer Leak During Anesthesiap. 31
Manual Ventilation by a Single Operator: With Patient Turned 180 Degrees Away from the Anesthesia Machinep. 33
Life-Threatening Arrhythmia in an Infantp. 36
Tongue Ring: Anesthetic Risks and Potential Complicationsp. 39
Hasty C-Arm Positioning: A Recipe for Disasterp. 42
Inability to Remove a Nasogastric Tubep. 44
An Unusual Cause of Difficult Tracheal Intubationp. 46
Pulmonary Edema After Abdominal Laparoscopyp. 48
Difficult Laryngeal Mask Airway Placement: A Possible Solutionp. 51
Postoperative Airway Complication After Sinus Surgeryp. 54
Investigating an Unusual Capnograph Tracing: Check Your Connectionsp. 57
A Respiratory Dilemma During a Transjugular Intrahepatic Portosystemic Shunt Procedurep. 60
A Tracheostomy Is Urgently Needed, but You Have Never Done Onep. 62
General Anesthesia for a Patient with a Difficult Airway and a Full Stomachp. 65
Jehovah's Witness and a Potentially Bloody Operationp. 68
Intraoperative Insufflation of the Stomachp. 71
Sudden Intraoperative Hypotensionp. 73
Overestimation of Blood Pressure from an Arterial Pressure Linep. 76
Severe Decrease in Lung Compliance During a Code Bluep. 79
Shortening Postanesthesia Recovery Time After an Epidural: Is It Possible?p. 82
Difficult Airway in an Underequipped Settingp. 85
Delayed Cutaneous Fluid Leak After Removal of an Epidural Catheterp. 87
Traumatic Hemothorax and Same-Side Central Venous Accessp. 90
Single Abdominal Knife Wound? Easy Case?p. 93
A Draw-Over Vaporizer with a Nonrebreathing Circuitp. 95
Unexpected Intraoperative "Oozing"p. 98
Central Venous Access and the Obese Patientp. 101
Taking Over for a Colleague: Always a Potential Concernp. 104
Intraoperative Epidural Catheter Malfunctionp. 106
Breathing Difficulties After an Electroconvulsive Therapyp. 109
White "Clumps" in the Blood Sample from an Arterial Line: Are You Concerned?p. 112
Anesthesia for a Surgeon Who Has Previously Lost His Privilegesp. 115
Airway Obstruction in a Prone Patientp. 117
A Question You Should Always Askp. 119
Postoperative Vocal Cord Paralysisp. 121
A Serious Problemp. 124
A Leaking Endotracheal Tube in a Prone Patientp. 127
Lessons from the Field: Unusual Problems Require Unusual Solutions in Impossible Situationsp. 129
An "Old Trick" but a Potential Problemp. 132
A Loud "Pop" Intraoperatively and Now You Cannot Ventilatep. 134
Postoperative Median Nerve Injuryp. 136
A Patient in a Halo: Watch Outp. 138
Now or Never: Developing Professional Judgmentp. 141
General Anesthesia in a Patient with Chronic Amphetamine Usep. 143
What Is Wrong with This Picture?p. 145
The One-Eyed Patientp. 147
A Near Tragedyp. 149
Robot-Assisted Surgery: A Word of Cautionp. 151
An Airway Emergency in an Out of Hospital Surgical Officep. 153
Bonus Question: Is the Patient Paralyzed?p. 155
Appendixp. 157
Indexp. 159
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780387725192
ISBN-10: 0387725199
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 164
Published: December 2007
Publisher: Springer-Verlag New York Inc.
Country of Publication: US
Dimensions (cm): 23.5 x 15.5  x 0.86
Weight (kg): 0.58