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- BookJohn G. Brock-UtneSummary: Those familiar with the 1st edition of this book from 2008 will recognize the original 62 cases that have been modernized with updated references and enjoy the addition of 41 brand new cases. Clinical Anesthesia: Near Misses and Lessons Learned, 2nd edition is a collection of actual cases, complied from the author's forty years of practice in major metropolitan hospitals in the United States, Norway and South Africa. It offers the reader succinct case presentations describing a problem on one page and a solution on the next, with a discussion, other potential solutions with satisfactory outcomes, and tips to help avoid problems altogether when possible. Clinical Anesthesia: Near Misses and Lessons Learned, 2nd edition serves as an easy and practical way for the reader to gain familiarity with potentially unexpected problems in clinical anesthesia In addition, this can be an excellent study aid for the American Board of Anesthesiology oral exam. Since near misses are relatively rare, there really is no way to be prepared to successfully manage such crises other than reading about them, so residents, fellows, and practicing, certified registered nurse anesthetists will benefit from the learning of these actual near misses. Additionally, faculty will find the plethora of discussion topics for large or small group settings an ideal way to communicate anesthesia and clinical care problems to the audience
Contents:
No Fiberoptic Intubation System: A Potential Problem
Is the Patient Extubated?
A Strange Computerized Electrocardiogram Interpretation
Fractured Neck of Femur in an Elderly Patient
Spinal Anesthetic That Wears Off Before Surgery Ends
Just a Simple Monitored Anesthesia Care Case
Smell of Burning in the Operating Room
Inguinal Hernia Repair in a Diabetic Patient
The Case of the "Hidden" IV
Postoperative Painful Eye
Awake Craniotomy with Language Mapping
Gum Elastic Bougie: Tips for Its Use
External Vaporizer Leak During Anesthesia
Manual Ventilation by a Single Operator: With Patient Turned 180 Degrees Away from the Anesthesia Machine
Life-Threatening Arrhythmia in an Infant
Tongue Ring: Anesthetic Risks and Potential Complications
Hasty C-Arm Positioning: A Recipe for Disaster
Inability to Remove a Nasogastric Tube
An Unusual Cause of Difficult Tracheal Intubation
Pulmonary Edema After Abdominal Laparoscopy
Difficult Laryngeal Mask Airway Placement: A Possible Solution
Postoperative Airway Complication After Sinus Surgery
An Unusual Capnograph Tracing
A Respiratory Dilemma During a Transjugular Intrahepatic Portosystemic Shunt Procedure
A Tracheostomy Is Urgently Needed, but You Have Never Done One
General Anesthesia for a Patient with a Difficult Airway and a Full Stomach
Jehovah's Witness and a Potentially Bloody Operation
Intraoperative Insufflation of the Stomach
Sudden Intraoperative Hypotension
Overestimation of Blood Pressure from an Arterial Pressure Line
Severe Decrease in Lung Compliance During a Code Blue
Shortening Postanesthesia Recovery Time After an Epidural: Is It Possible?
Difficult Airway in an Underequipped Setting
Delayed Cutaneous Fluid Leak After Removal of an Epidural Catheter
Traumatic Hemothorax and Same-Side Central Venous Access
Single Abdominal Knife Wound? Easy Case?
A Draw-Over Vaporizer with a Nonrebreathing Circuit
Unexpected Intraoperative "Oozing"
Central Venous Access and the Obese Patient
Taking Over for a Colleague: Always a Potential Concern
Intraoperative Epidural Catheter Malfunction
Breathing Difficulties After an Electroconvulsive Therapy
White "Clumps" in the Blood Sample from an Arterial Line: Are You Concerned?
Anesthesia for a Surgeon Who Has Previously Lost His Privileges
Airway Obstruction in a Prone Patient
A Question You Should Always Ask
Postoperative Vocal Cord Paralysis
A Serious Problem
A Leaking Endotracheal Tube in a Prone Patient
Lessons from the Field: Unusual Problems Require Unusual Solutions in Impossible Situations
An "Old Trick" but a Potential Problem
A Loud "Pop" Intraoperatively and Now You Cannot Ventilate
Postoperative Median Nerve Injury
A Patient in a Halo: Watch Out
Now or Never: Developing Professional Judgment
General Anesthesia in a Patient with Chronic Amphetamine Use
What Is Wrong with This Picture?
The One-Eyed Patient
A Near Tragedy
Robot-Assisted Surgery: A Word of Caution
An Airway Emergency in an Out of Hospital Surgical Office
Bonus Question: Is the Patient Paralyzed?