Clinical anesthesia: near misses and lessons learned
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York, NY
Springer
2008
|
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Inhaltsverzeichnis Klappentext |
| Beschreibung: | XV, 163 S. Ill., graph. Darst. |
| ISBN: | 0387725199 9780387725192 |
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| 245 | 1 | 0 | |a Clinical anesthesia |b near misses and lessons learned |c John G. Brock-Utne |
| 264 | 1 | |a New York, NY |b Springer |c 2008 | |
| 300 | |a XV, 163 S. |b Ill., graph. Darst. | ||
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| 650 | 4 | |a Anesthesia |x Complications | |
| 650 | 4 | |a Anesthesia |x adverse effects |v Case Reports | |
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Datensatz im Suchindex
| _version_ | 1805090543829516288 |
|---|---|
| adam_text |
Contents
Foreword by Jay
В.
Brodsky
.
vii
Preface
. ix
Acknowledgments
. xi
1
No Fiberoptic Intubation System: A Potential Problem
. 1
2
Is the Patient Extubated?
. 3
3
A Strange Computerized
Electrocardiogram Interpretation
. 6
4
Fractured Neck of Femur in an Elderly Patient
. 10
5
Spinal Anesthetic That Wears Off Before Surgery Ends
. 12
6
Just a Simple Monitored Anesthesia Care Case
. 14
7
Smell of Burning in the Operating Room
. 17
8
Inguinal Hernia Repair in a Diabetic Patient
. 19
9
The Case of the "Hidden" IV
. 22
10
Postoperative Painful Eye
. 24
11
Awake Craniotomy with Language Mapping
. 26
12
Gum Elastic Bougie: Tips for Its Use
. 28
13
External Vaporizer Leak During Anesthesia
. 31
14
Manual Ventilation by a Single Operator: With Patient Turned
180
Degrees Away from the Anesthesia Machine
. 33
15
Life-Threatening Arrhythmia in an Infant
. 36
16
Tongue Ring: Anesthetic Risks and
Potential Complications
. 39
17
Hasty C-Arm Positioning: A Recipe for Disaster
. 42
xiv Contents
18
Inability to Remove a Nasogastric Tube
. 44
19
An Unusual Cause of Difficult
Trachéal
Intubation
. 46
20
Pulmonary Edema After Abdominal Laparoscopy
. 48
21
Difficult Laryngeal Mask Airway Placement:
A Possible Solution
. 51
22
Postoperative Airway Complication After Sinus Surgery
. 54
23
Investigating an Unusual Capnograph Tracing:
ι
Your Connections
.
24
A Respiratory Dilemma During a Transjugular
23
Investigating an Unusual Capnograph Tracing: Check
Your Connections
. 57
Intrahepatic Portosystemic Shunt Procedure
60
25
A Tracheostomy Is Urgently Needed, but You Have
Never Done One
. 62
26
General Anesthesia for a Patient with a Difficult Airway
and a Full Stomach
. 65
27
Jehovah's Witness and a Potentially Bloody Operation
. 68
28 Intraoperative
Insufflation of the Stomach
. 71
29
Sudden
Intraoperative
Hypotension
. 73
30
Overestimation of Blood Pressure from an Arterial
Pressure Line
. 76
31
Severe Decrease in Lung Compliance During a Code Blue
. 79
32
Shortening Postanesthesia Recovery Time After an
Epidural: Is It Possible?
. 82
33
Difficult Airway in an Underequipped Setting
. 85
34
Delayed Cutaneous Fluid Leak After Removal of an
Epidural Catheter
. 87
35
Traumatic Hemothorax and Same-Side Central
Venous Access
. 90
36
Single Abdominal Knife Wound? Easy Case?
. 93
37
A Draw-Over Vaporizer with a Nonrebreathing Circuit
. 95
38
Unexpected
Intraoperative
"Oozing"
. 98
39
Central Venous Access and the Obese Patient
. 101
40
Taking Over for a Colleague: Always a Potential Concern
. 104
41 Intraoperative
Epidural Catheter Malfunction
. 106
Contents xv
42
Breathing Difficulties After an Electroconvulsive Therapy
. 109
43
White "Clumps" in the Blood Sample from an Arterial
Line: Are You Concerned?
. 112
44
Anesthesia for a Surgeon Who Has Previously Lost
His Privileges
. 115
45
Airway Obstruction in a Prone Patient
. 117
46
A Question You Should Always Ask
. 119
47
Postoperative Vocal Cord Paralysis
. 121
48
A Serious Problem
. 124
49
A Leaking Endotracheal Tube in a Prone Patient
. 127
50
Lessons from the Field: Unusual Problems Require Unusual
Solutions in Impossible Situations
. 129
51
An "Old Trick" but a Potential Problem
. 132
52
A Loud "Pop" Intraoperatively and Now You
Cannot Ventilate
. 134
53
Postoperative Median Nerve Injury
. 136
54
A Patient in a Halo: Watch Out
. 138
55
Now or Never: Developing Professional Judgment
. 141
56
General Anesthesia in a Patient with Chronic
Amphetamine Use
. 143
57
What Is Wrong with This Picture?
. 145
58
The One-Eyed Patient
. 147
59
A Near Tragedy
. 149
60
Robot-Assisted Surgery: A Word of Caution
. 151
61
An Airway Emergency in an Out of Hospital
Surgical Office
. 153
62
Bonus Question: Is the Patient Paralyzed?
. 155
Appendix
. 157
Index
. 159
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 South Africa is an
excellent review of potential problems
and solutions all anesthesiologists should
be familiar with. Succinct case
presentations describe a problem and the
solution, with each write-up concluded
by a retrospective analysis examining
whether the solution used was actually
the best (or only) choice. Other solutions
and equally satisfactory outcomes are
explored, and tips to help avoid
problems altogether are presented where
possible. With its practice-based
approach, this book helps the reader to
avoid the pitfalls common in daily
clinical life.
Brock-Utne
Clinical Anesthesia
Near Misses and
Lessons Learned |
| adam_txt |
Contents
Foreword by Jay
В.
Brodsky
.
vii
Preface
. ix
Acknowledgments
. xi
1
No Fiberoptic Intubation System: A Potential Problem
. 1
2
Is the Patient Extubated?
. 3
3
A Strange Computerized
Electrocardiogram Interpretation
. 6
4
Fractured Neck of Femur in an Elderly Patient
. 10
5
Spinal Anesthetic That Wears Off Before Surgery Ends
. 12
6
Just a Simple Monitored Anesthesia Care Case
. 14
7
Smell of Burning in the Operating Room
. 17
8
Inguinal Hernia Repair in a Diabetic Patient
. 19
9
The Case of the "Hidden" IV
. 22
10
Postoperative Painful Eye
. 24
11
Awake Craniotomy with Language Mapping
. 26
12
Gum Elastic Bougie: Tips for Its Use
. 28
13
External Vaporizer Leak During Anesthesia
. 31
14
Manual Ventilation by a Single Operator: With Patient Turned
180
Degrees Away from the Anesthesia Machine
. 33
15
Life-Threatening Arrhythmia in an Infant
. 36
16
Tongue Ring: Anesthetic Risks and
Potential Complications
. 39
17
Hasty C-Arm Positioning: A Recipe for Disaster
. 42
xiv Contents
18
Inability to Remove a Nasogastric Tube
. 44
19
An Unusual Cause of Difficult
Trachéal
Intubation
. 46
20
Pulmonary Edema After Abdominal Laparoscopy
. 48
21
Difficult Laryngeal Mask Airway Placement:
A Possible Solution
. 51
22
Postoperative Airway Complication After Sinus Surgery
. 54
23
Investigating an Unusual Capnograph Tracing:
ι
Your Connections
.
24
A Respiratory Dilemma During a Transjugular
23
Investigating an Unusual Capnograph Tracing: Check
Your Connections
. 57
Intrahepatic Portosystemic Shunt Procedure
60
25
A Tracheostomy Is Urgently Needed, but You Have
Never Done One
. 62
26
General Anesthesia for a Patient with a Difficult Airway
and a Full Stomach
. 65
27
Jehovah's Witness and a Potentially Bloody Operation
. 68
28 Intraoperative
Insufflation of the Stomach
. 71
29
Sudden
Intraoperative
Hypotension
. 73
30
Overestimation of Blood Pressure from an Arterial
Pressure Line
. 76
31
Severe Decrease in Lung Compliance During a Code Blue
. 79
32
Shortening Postanesthesia Recovery Time After an
Epidural: Is It Possible?
. 82
33
Difficult Airway in an Underequipped Setting
. 85
34
Delayed Cutaneous Fluid Leak After Removal of an
Epidural Catheter
. 87
35
Traumatic Hemothorax and Same-Side Central
Venous Access
. 90
36
Single Abdominal Knife Wound? Easy Case?
. 93
37
A Draw-Over Vaporizer with a Nonrebreathing Circuit
. 95
38
Unexpected
Intraoperative
"Oozing"
. 98
39
Central Venous Access and the Obese Patient
. 101
40
Taking Over for a Colleague: Always a Potential Concern
. 104
41 Intraoperative
Epidural Catheter Malfunction
. 106
Contents xv
42
Breathing Difficulties After an Electroconvulsive Therapy
. 109
43
White "Clumps" in the Blood Sample from an Arterial
Line: Are You Concerned?
. 112
44
Anesthesia for a Surgeon Who Has Previously Lost
His Privileges
. 115
45
Airway Obstruction in a Prone Patient
. 117
46
A Question You Should Always Ask
. 119
47
Postoperative Vocal Cord Paralysis
. 121
48
A Serious Problem
. 124
49
A Leaking Endotracheal Tube in a Prone Patient
. 127
50
Lessons from the Field: Unusual Problems Require Unusual
Solutions in Impossible Situations
. 129
51
An "Old Trick" but a Potential Problem
. 132
52
A Loud "Pop" Intraoperatively and Now You
Cannot Ventilate
. 134
53
Postoperative Median Nerve Injury
. 136
54
A Patient in a Halo: Watch Out
. 138
55
Now or Never: Developing Professional Judgment
. 141
56
General Anesthesia in a Patient with Chronic
Amphetamine Use
. 143
57
What Is Wrong with This Picture?
. 145
58
The One-Eyed Patient
. 147
59
A Near Tragedy
. 149
60
Robot-Assisted Surgery: A Word of Caution
. 151
61
An Airway Emergency in an Out of Hospital
Surgical Office
. 153
62
Bonus Question: Is the Patient Paralyzed?
. 155
Appendix
. 157
Index
. 159
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 South Africa is an
excellent review of potential problems
and solutions all anesthesiologists should
be familiar with. Succinct case
presentations describe a problem and the
solution, with each write-up concluded
by a retrospective analysis examining
whether the solution used was actually
the best (or only) choice. Other solutions
and equally satisfactory outcomes are
explored, and tips to help avoid
problems altogether are presented where
possible. With its practice-based
approach, this book helps the reader to
avoid the pitfalls common in daily
clinical life.
Brock-Utne
Clinical Anesthesia
Near Misses and
Lessons Learned |
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| illustrated | Illustrated |
| index_date | 2024-07-02T20:59:03Z |
| indexdate | 2024-07-20T09:41:30Z |
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| isbn | 0387725199 9780387725192 |
| language | English |
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| spelling | Brock-Utne, John G. Verfasser aut Clinical anesthesia near misses and lessons learned John G. Brock-Utne New York, NY Springer 2008 XV, 163 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesia Complications Anesthesia adverse effects Case Reports Anesthesiology Complications Narkosezwischenfall (DE-588)4171165-8 gnd rswk-swf Narkosezwischenfall (DE-588)4171165-8 s DE-604 Erscheint auch als Online-Ausgabe 978-0-387-72525-3 text/html http://deposit.dnb.de/cgi-bin/dokserv?id=2943555&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016518493&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016518493&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Brock-Utne, John G. Clinical anesthesia near misses and lessons learned Anesthesia Complications Anesthesia adverse effects Case Reports Anesthesiology Complications Narkosezwischenfall (DE-588)4171165-8 gnd |
| subject_GND | (DE-588)4171165-8 |
| title | Clinical anesthesia near misses and lessons learned |
| title_auth | Clinical anesthesia near misses and lessons learned |
| title_exact_search | Clinical anesthesia near misses and lessons learned |
| title_exact_search_txtP | Clinical anesthesia near misses and lessons learned |
| title_full | Clinical anesthesia near misses and lessons learned John G. Brock-Utne |
| title_fullStr | Clinical anesthesia near misses and lessons learned John G. Brock-Utne |
| title_full_unstemmed | Clinical anesthesia near misses and lessons learned John G. Brock-Utne |
| title_short | Clinical anesthesia |
| title_sort | clinical anesthesia near misses and lessons learned |
| title_sub | near misses and lessons learned |
| topic | Anesthesia Complications Anesthesia adverse effects Case Reports Anesthesiology Complications Narkosezwischenfall (DE-588)4171165-8 gnd |
| topic_facet | Anesthesia Complications Anesthesia adverse effects Case Reports Anesthesiology Complications Narkosezwischenfall |
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