• Brock-Utne, Case Studies of Near Misses in Clinical Anesthesia

Autor: Brock-Utne, John G.
Case Studies of Near Misses in Clinical Anesthesia
2. Auflage 2012, 196 p., 4 illus.

About the book:

Although near-miss situations are fortunately rare in anesthesiology, it is essential to know how to respond if these situations arise. This collection of actual cases, compiled from the author’s thirty-five plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, is an excellent review of potential problems and solutions all anesthesiologists should be familiar with.  Succinct case presentations describe a problem and the solution, with each write-up concluded by a retrospective analysis examining whether the solution used was actually the best (or only) choice.  Other solutions and equally satisfactory outcomes are explored, and tips to help avoid problems altogether are presented where possible.  This book may therefore serve as either an excellent review for the American Board of Anesthesiology’s oral exam or as an easy and practical way for the reader to gain familiarity with unexpected problems in clinical anesthesia. 

Content Level » Professional/practitioner

Keywords » airway management - case studies - complications - difficult airway - intubation - neuroanesthesia - nurse anesthetists

Related subjects » Anesthesiology - Critical Care & Emergency Medicine

Table of contents

Case 1.  A patient with a mediastinal mass.

Case 2. Stick out your tongue
Case 3.  An epidural blood patch. What went wrong?

Case 4. A lack of communication leads to a bad outcome.

Case 5.Hyperkalemia during Coronary Artery Bypass Graft.

Case 6.  A adjuvant to the cuff leak test.

Case 7. Acinetobacter baumannii outbreak in an ICU. Can our equipment be at fault?

Case 8.  A complication with the use of the intubating Fiberscope.

Case 9. Interscalene block in concern in cardiac patients.

Case 10.  Epidural analgesia for labor. Watch out.

Case 11. Past history of esophagectomy. Any concern?

Case 12. A case of Myasthenia Gravis.

Case 13. Where are my teeth?

Case 14. An unusual Capnograph tracing.

Case 15. A VP shunt.

Case 16. Shoulder surgery. Watch out.

Case 17. An ambulatory surgical patient with no escort.

Case 18 . A complication during laprascopy.

Case 19 A patient with Amyotrophic lateral sclerosis.

Case 20 Repair of a thoracic duct.

Case 21  Occuled reinforced  (armored) endotracheal tube.

Case 22 A difficult nasogastic tube insertion.

Case 23. Antiphospholipid antibody syndrome. Any concern for general anesthesia?

Case 24. An airway surprise.

Case 25.  Difficulty with breathing in the postoperative period.

Case 26. Severe systemic local anesthetic toxicity.

Case 27. A motorcycle accident with neck injury.

Case 28. Thoracic incisional injury.

Case 29. Bronchospasm. An unusual cause.

Case 30. Post  bariatric surgery. Any concerns?

Case 31. Valuable information from an inplanted pacemaker.

Case 32. Allen’s test in an anesthetized patient. Is it possible?

Case 33. A loss of the only oxygen supply you have during an anesthetic.

Case 34. An aggressive surgeon

Case 35. A pharyngeal mass.

Case 36.  Retained laps

Case 37  A “Code Blue”

Case 38 A complication of Transesophageal echocardiography (TEE)

Case 39 LMA in elective orthopedic surgery

Case 40. What would you do?

Case 41.  Preeclampsia

Case 42. A failed “test dose”.

Case 43.  A simple cystoscopy with biopsy.

Case 44. An orthopedic trauma.

Case 45. Blood in the endotracheal tube.

Case 46 A longstanding tracheostomy.

Case 47. An airway problem during MAC

Case 48.  Is the patient extubated?

Case 49. A leaking anesthesia machine.

Case 50. A most important lesson.

Case 51. Transsphenoidal resection of a pituitary tumor.

Case 52.  Spinal reconstruction and fusion in a chronic pain patient

Case 53. A repeat back operation in a patient who has had postoperative visual loss in the past.

Case 54. Respiratory arrest in the recovery room

Case 55 Bispectral Index. What does it mean?

Case 56. Neonatal laprascopic surgery.

Case 57.  Total IV anesthesia

Case 58.  An ICU Patient

Case 59. A new onset of arterial fibrillation in the recovery room

Case 60. A rapid increase in core body temperature

Case 61. Prolonged surgery.

Case 62. Persistent intraoperative hiccups. What to do?

Case 63. Internal jugular cannulation.

Case 64 Endobronchial foreign body.

Case 65. A cyst in Fourth ventricle

Case 66. Generalized convulsions after regional anesthesia.

Case 67 Cardiac arrest in a prone patient.

Case 68. A short patient with a high BMI.

Case 69. Bleeding after oral surgery

Case 70 Selecting the right size double lumen tube.

Case 71 A low normal preoperative blood glucose level.

Case 72 Things to remember when you change a Cordis Catheter to a triple lumen.

Case 73.  An intraoperative malfunctioning vaporizer.

Case 74. An abnormal EKG first discovered in the operating room.

Case 75. A cardiac arrest in ICU.

Case 76  A severe case of metabolic acidosis.

Case 77. Bunionectomy under both general and regional anesthesia

Case 78. Now what would you do?

Case 79. A strange case.

Case 80. A chronic pain patient

 

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