Autor: Brock-Utne, John G.
Clinical Anesthesia
Near Misses and Lessons Learned
2nd Edition 2018, 342 p. 30 illus., Softcover

About the book:

Compiled from the author's decades of practice in major metropolitan hospitals, this collection of cases offers an excellent review of problems - and the solutions all anesthesiologists should know. The cases are wonderfully succinct, with the problem described on one page and the solution on the next.

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:
Table of Contents1 Case 1: No Fibro-Optic Intubation System - A Potential Problem 2 Case 2: Is the Patient Extubated?3 Case 3: A Strange Computerized ECG Interpretation4 Case 4: An Elderly Lady with a Fractured Neck of Femur5 Case 5: A Spinal Anesthetic That Wears Off Before Surgery Ends. What to Do?6 Case 6: Just a Simple Monitored Anesthesia Care (MAC) Case7 Case 7: Smell of Burning in the Operating Room8 Case 8: A Diabetic Patient for Inguinal Hernia Repair9 Case 9: The Case of the "Hidden" IV10 Case 10: Postoperative Painful Eye11 Case 11: Awake Craniotomy12 Case 12: Gum Elastic Bougie13 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 Old16 Case 16: Tongue Ring17 Case 17: Hasty C-Arm Positioning. A Recipe for Disaster.18 Case 18: Inability to Remove a Nasogastric Tube19 Case 19: An Unusual Cause of Difficult Tracheal Intubation20 Case 20: Pulmonary Edema Following Abdominal Laparoscopy21 Case 21: A Possible Solution to a Difficult Laryngeal Mask Airway Placement22 Case 22: Postoperative Airway Complication Following Sinus Surgery23 Case 23: An Unusual Capnograph Tracing24 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 One26 Case 26: General Anesthesia for a Patient with a Difficult Airway and Full Stomach27 Case 27: A Jehovah's Witness Patient and a Potentially Bloody Operation28 Case 28: Laparoscopic Achalasia Surgery29 Case 29: Sudden Intraoperative Hypotension30 Case 30: Blood Pressure Difference between a Non-Invasive and an Invasive Blood Pressure Measurement31 Case 31: Severe Decrease in Lung Compliance during a Code Blue32 Case 32: Shortening Post-Anesthesia Recovery Time after an Epidural. Is It Possible?33 Case 33: At Times You Need To Be a MacGyver34 Case 34: Delayed Cutaneous Fluid Leak from a Puncture Hole after Removal of an Epidural Catheter35 Case 35: Traumatic Hemothorax and Same Side Central Venous Access36 Case 36: A Single Abdominal Knife Wound. Easy Case?37 Case 37: A Draw-Over Vaporizer with a Non-Rebreathing Circuit38 Case 38: Unexpected Intraoperative "Oozing"39 Case 39: Central Venous Access and the Obese Patient40 Case 40: Check Your Facts41 Case 41: Intraoperative Epidural Catheter Malfunction42 Case 42: Breathing Difficulties after an ECT43 Case 43: White "Clumps" in the Blood Sample from an Arterial Line44 Case 44: Anesthesia for a Surgeon Who Has Previously Lost His Privileges45 Case 45: Airway Obstruction in an Anesthetized Prone Patient46 Case 46: A Question You Should Always Ask47 Case 47: Postoperative Vocal Cord Paralysis48 Case 48: This Is a Serious Problem49 Case 49: A Leaking Endotracheal Tube in a Prone Patient50 Case 50: An Impossible Situation?51 Case 51: An "Old Trick" But a Potential Serious Problem52 Case 52: A Loud "Pop" Intra-Operatively and Now You Can't Ventilate53 Case 53: Postoperative Median Nerve Injury54 Case 54: A Patient in a Halo55 Case 55: It Is Now or Never56 Case 56: General Anesthesia in a Patient with Daily Use of Prescribed Amphetamine57 Case 57: What Is Wrong With This Picture?58 Case 58: The One-Eyed Patient59 Case 59: A Near Tragedy60 Case 60: Robot Assisted Surgery. A Word of Caution.61 Case 61: An Airway Emergency in an Out of Hospital Surgical Office62 Case 62: A Case of Recent Hip Replacement Coming For a Cystoscopy63 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