Main description:

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.

Contents:

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