Clinical Anesthesia Near Misses and Lessons Learned

Clinical Anesthesia Near Misses and Lessons Learned / by John G. Brock-Utne, MD, PhD, FFA(SA).

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 Sou...

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Bibliographic Details
Main Author: Brock-Utne, MD, PhD, FFA(SA), John G. (Author)
Corporate Author: SpringerLink (Online service)
Format: eBook
Language:English
Published: New York, NY : Springer New York : Imprint: Springer, 2008.
Edition:1st ed. 2008.
Series:Springer eBook Collection.
Subjects:
Anesthesiology.
Critical care medicine.
Electronic resources (E-books)
Online Access:Click to view e-book
Holy Cross Note:Loaded electronically.
Electronic access restricted to members of the Holy Cross Community.
Table of 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?.

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