Clinical Anesthesia: Near Misses and Lessons Learned

Front Matter ....Pages i-xvii
 Case 1: No Fiber-Optic Intubation System: A Potential Problem  (John G. Brock-Utne)....Pages 1-2
 Case 2: Is the Patient Extubated?  (John G. Brock-Utne)....Pages 3-6
 Case 3: A Strange Computerized ECG Interpretation  (John G. Brock-Utne)....Pages 7-10
 Case 4: An Elderly Lady with a Fractured Neck of the Femur  (John G. Brock-Utne)....Pages 11-13
 Case 5: A Spinal Anesthetic that Wears Off Before Surgery Ends – What to Do?  (John G. Brock-Utne)....Pages 15-17
 Case 6: Just a Simple Monitored Anesthesia Care (MAC) Case  (John G. Brock-Utne)....Pages 19-21
 Case 7: Smell of Burning in the Operating Room  (John G. Brock-Utne)....Pages 23-25
 Case 8: A Diabetic Patient for Inguinal Hernia Repair  (John G. Brock-Utne)....Pages 27-29
 Case 9: The Case of the “Hidden” IV  (John G. Brock-Utne)....Pages 31-32
 Case 10: Postoperative Painful Eye  (John G. Brock-Utne)....Pages 33-34
 Case 11: Awake Craniotomy  (John G. Brock-Utne)....Pages 35-36
 Case 12: Gum Elastic Bougie  (John G. Brock-Utne)....Pages 37-39
 Case 13: You Smell Anesthesia Vapor – Where Is It Coming From?  (John G. Brock-Utne)....Pages 41-42
 Case 14: Manual Ventilation of a Patient Turned 180 Degrees Away from the Anesthesia Machine by a Single Operator – Is it Possible?  (John G. Brock-Utne)....Pages 43-45
 Case 15: Life-Threatening Arrhythmia in a 5-Month-Old  (John G. Brock-Utne)....Pages 47-52
 Case 16: Tongue Ring  (John G. Brock-Utne)....Pages 53-55
 Case 17: Hasty C-Arm Positioning – A Recipe for Disaster  (John G. Brock-Utne)....Pages 57-59
 Case 18: Inability to Remove a Nasogastric Tube  (John G. Brock-Utne)....Pages 61-62
 Case 19: An Unusual Cause of Difficult Tracheal Intubation  (John G. Brock-Utne)....Pages 63-65
 Case 20: Pulmonary Edema Following Abdominal Laparoscopy  (John G. Brock-Utne)....Pages 67-69
 Case 21: A Possible Solution to a Difficult Laryngeal Mask Airway Placement  (John G. Brock-Utne)....Pages 71-74
 Case 22: Postoperative Airway Complication Following Sinus Surgery  (John G. Brock-Utne)....Pages 75-77
 Case 23: An Unusual Capnograph Tracing  (John G. Brock-Utne)....Pages 79-81
 Case 24: A Respiratory Dilemma During a Transjugular Intrahepatic Porto-Systemic Shunt (TIPSS) Procedure  (John G. Brock-Utne)....Pages 83-85
 Case 25: A Tracheotomy Is Urgently Needed and You Have Never Done One  (John G. Brock-Utne)....Pages 87-89
 Case 26: General Anesthesia for a Patient with a Difficult Airway and Full Stomach  (John G. Brock-Utne)....Pages 91-93
 Case 27: A Jehovah’s Witness Patient and a Potentially Bloody Operation  (John G. Brock-Utne)....Pages 95-98
 Case 28: Laparoscopic Achalasia Surgery  (John G. Brock-Utne)....Pages 99-100
 Case 29: Sudden Intraoperative Hypotension  (John G. Brock-Utne)....Pages 101-103
 Case 30: Blood Pressure Difference Between a Noninvasive and an Invasive Blood Pressure Measurement  (John G. Brock-Utne)....Pages 105-107
 Case 31: Severe Decrease in Lung Compliance During a Code Blue  (John G. Brock-Utne)....Pages 109-111
 Case 32: Shortening Postanesthesia Recovery Time After an Epidural. Is It Possible?  (John G. Brock-Utne)....Pages 113-115
 Case 33: At Times You Need to Be a MacGyver  (John G. Brock-Utne)....Pages 117-119
 Case 34: Delayed Cutaneous Fluid Leak from a Puncture Hole After Removal of an Epidural Catheter  (John G. Brock-Utne)....Pages 121-123
 Case 35: Traumatic Hemothorax and Same-side Central Venous Access  (John G. Brock-Utne)....Pages 125-127
 Case 36: A Single Abdominal Knife Wound. Easy Case?  (John G. Brock-Utne)....Pages 129-131
 Case 37: A -Over Vaporizer with a Non-rebreathing Circuit  (John G. Brock-Utne)....Pages 133-136
 Case 38: Unexpected Intraoperative “Oozing”  (John G. Brock-Utne)....Pages 137-139
 Case 39: Central Venous Access and the Obese Patient  (John G. Brock-Utne)....Pages 141-143
 Case 40: Check Your Facts  (John G. Brock-Utne)....Pages 145-146
 Case 41: Intraoperative Epidural Catheter Malfunction  (John G. Brock-Utne)....Pages 147-149
 Case 42: Breathing Difficulties After an ECT  (John G. Brock-Utne)....Pages 151-153
 Case 43: White “Clumps” in the Blood Sample from an Arterial Line  (John G. Brock-Utne)....Pages 155-158
 Case 44: Anesthesia for a Surgeon Who Has Previously Lost His Privileges  (John G. Brock-Utne)....Pages 159-161
 Case 45: Airway Obstruction in an Anesthetized Prone Patient  (John G. Brock-Utne)....Pages 163-164
 Case 46: A Question You Should Always Ask  (John G. Brock-Utne)....Pages 165-166
 Case 47: Postoperative Vocal Cord Paralysis  (John G. Brock-Utne)....Pages 167-169
 Case 48: This Is a Serious Problem  (John G. Brock-Utne)....Pages 171-173
 Case 49: A Leaking Endotracheal Tube in a Prone Patient  (John G. Brock-Utne)....Pages 175-176
 Case 50: An Impossible Situation?  (John G. Brock-Utne)....Pages 177-179
 Case 51: An “Old Trick” but a Potential Serious Problem  (John G. Brock-Utne)....Pages 181-183
 Case 52: A Loud “Pop” Intraoperatively and Now You Cannot Ventilate  (John G. Brock-Utne)....Pages 185-186
 Case 53: Postoperative Median Nerve Injury  (John G. Brock-Utne)....Pages 187-188
 Case 54: A Patient in a Halo  (John G. Brock-Utne)....Pages 189-191
 Case 55: It Is Now or Never  (John G. Brock-Utne)....Pages 193-194
 Case 56: General Anesthesia in a Patient with Daily Use of Prescribed Amphetamine  (John G. Brock-Utne)....Pages 195-197
 Case 57: What Is Wrong with This Picture?  (John G. Brock-Utne)....Pages 199-201
 Case 58: The One-Eyed Patient  (John G. Brock-Utne)....Pages 203-204
 Case 59: A Near Tragedy  (John G. Brock-Utne)....Pages 205-206
 Case 60: Robot-Assisted Surgery: A Word of Caution  (John G. Brock-Utne)....Pages 207-209
 Case 61: An Airway Emergency in an Out-of-Hospital Surgical Office  (John G. Brock-Utne)....Pages 211-212
 Case 62: A Case of Recent Hip Replacement Coming for a Cystoscopy  (John G. Brock-Utne)....Pages 213-214
 Case 63: A High Glucose Concentration in an Epidural Catheter Aspirate: Should One Be Concerned?  (John G. Brock-Utne)....Pages 215-216
 Case 64: A General Anesthesia in a Patient Who Has Had a Recent Eye Operation  (John G. Brock-Utne)....Pages 217-218
 Case 65: Another Awake Craniotomy  (John G. Brock-Utne)....Pages 219-221
 Case 66: Spinal Fracture and Flail-Segment Rib Fractures Following a Motor Vehicle Accident  (John G. Brock-Utne)....Pages 223-224
 Case 67: Angioedema in the Emergency Department  (John G. Brock-Utne)....Pages 225-227
 Case 68: Cranioplasty: Should You Be Concerned?  (John G. Brock-Utne)....Pages 229-230
 Case 69: More Haste Less Speed  (John G. Brock-Utne)....Pages 231-233
 Case 70: A Pregnant Patient for a Carpal Tunnel Operation  (John G. Brock-Utne)....Pages 235-236
 Case 71: A Request to Provide Isoflurane Anesthesia for Treatment of Status Epilepticus  (John G. Brock-Utne)....Pages 237-238
 Case 72: No Methylene Blue in the Urine: What Would You Do?  (John G. Brock-Utne)....Pages 239-241
 Case 73: A Right Upper Lobe Tumor and Concurrent Tracheal Polyp: What Lung Isolation Technique Would You Use?  (John G. Brock-Utne)....Pages 243-244
 Case 74: Complete Heart Block During Central Line Placement  (John G. Brock-Utne)....Pages 245-246
 Case 75: Cervical Hematoma Following Neck Surgery  (John G. Brock-Utne)....Pages 247-249
 Case 76: Transient Language Disturbance Following General Anesthesia  (John G. Brock-Utne)....Pages 251-253
 Case 77: A Flexible Suction Catheter Complication  (John G. Brock-Utne)....Pages 255-256
 Case 78: A Neurosurgical Case with a Sudden Disappearance of the Arterial Line Waveform  (John G. Brock-Utne)....Pages 257-259
 Case 79: Not Another Corneal Abrasion  (John G. Brock-Utne)....Pages 261-263
 Case 80: A Maxillofacial Operation  (John G. Brock-Utne)....Pages 265-267
 Case 81: A Patient with a Transplanted Heart for Cholecystectomy  (John G. Brock-Utne)....Pages 269-270
 Case 82: A High Total Spinal in an Obstetric Patient  (John G. Brock-Utne)....Pages 271-272
 Case 83: Peroral Endoscopic Myotomy (POEM)  (John G. Brock-Utne)....Pages 273-275
 Case 84: A Neonatal Emergency  (John G. Brock-Utne)....Pages 277-278
 Case 85: This Could Be Serious  (John G. Brock-Utne)....Pages 279-280
 Case 86: A Case of Acoustic Neuroma  (John G. Brock-Utne)....Pages 281-282
 Case 87: Is the IV Infiltrated?  (John G. Brock-Utne)....Pages 283-285
 Case 88: Communication Is Essential  (John G. Brock-Utne)....Pages 287-288
 Case 89: Watch Out  (John G. Brock-Utne)....Pages 289-290
 Case 90: A Simple Case but It Goes On and On  (John G. Brock-Utne)....Pages 291-293
 Case 91: Endotracheal Intubation in the ICU: Watch Out  (John G. Brock-Utne)....Pages 295-296
 Case 92: A Straightforward Case, or Is It?  (John G. Brock-Utne)....Pages 297-298
 Case 93: Postoperative Red Urine  (John G. Brock-Utne)....Pages 299-301
 Case 94: Patient’s Toes Suddenly Become White During a Lower Limb Operation  (John G. Brock-Utne)....Pages 303-305
 Case 95: A Percutaneous Tracheostomy  (John G. Brock-Utne)....Pages 307-309
 Case 96: A Patient in the Prone Position – Watch Out  (John G. Brock-Utne)....Pages 311-313
 Case 97: A Patient with Obstructive Sleep Apnea  (John G. Brock-Utne)....Pages 315-317
 Case 98: A Case of Wegener Granulomatosis  (John G. Brock-Utne)....Pages 319-321
 Case 99: What Can Possibly Go Wrong?  (John G. Brock-Utne)....Pages 323-324
 Case 100: Severe Case of Hyperkalemia During Rapid Blood Transfusion  (John G. Brock-Utne)....Pages 325-327
 Case 101: A Monitor Is Just a Machine  (John G. Brock-Utne)....Pages 329-330
 Case 102: A Case of Preoperative Sinus Tachycardia  (John G. Brock-Utne)....Pages 331-332
 Case 103: Bonus Question  (John G. Brock-Utne)....Pages 333-334
Back Matter ....Pages 335-342