Case Studies of Near Misses in Clinical Anesthesia

All anesthesiologists eventually face the fear of a “near miss,” when a patient’s life has been put at risk. Learning from the experience is crucial to professionalism and the ongoing development of expertise. Drawing on forty-plus years of practice in major metropolitan hospitals in the United Stat...

Πλήρης περιγραφή

Λεπτομέρειες βιβλιογραφικής εγγραφής
Κύριος συγγραφέας: Brock-Utne, John G. (Συγγραφέας)
Συγγραφή απο Οργανισμό/Αρχή: SpringerLink (Online service)
Μορφή: Ηλεκτρονική πηγή Ηλ. βιβλίο
Γλώσσα:English
Έκδοση: New York, NY : Springer New York : Imprint: Springer, 2011.
Θέματα:
Διαθέσιμο Online:Full Text via HEAL-Link
Πίνακας περιεχομένων:
  • 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 implanted 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.