Clinical Anesthesia: Near Misses and Lessons Learned

Clinical Anesthesia......Page 2
Foreword......Page 5
Preface......Page 6
Acknowledgments......Page 7
Contents......Page 8
No Fiberoptic Intubation System:A Potential Problem......Page 11
Is the Patient Extubated?......Page 13
A Strange ComputerizedElectrocardiogram Interpretation......Page 16
Fractured Neck of Femur in anElderly Patient......Page 20
Spinal Anesthetic That Wears OffBefore Surgery Ends......Page 22
Just aSimple Monitored AnesthesiaCare Case......Page 24
Smell of Burning in theOperating Room......Page 27
Inguinal Hernia Repair in aDiabetic Patient......Page 29
The Case of the “Hidden” IV......Page 32
Postoperative Painful Eye......Page 34
Awake Craniotomy withLanguage Mapping......Page 36
Gum Elastic Bougie: Tips forIts Use......Page 38
External Vaporizer LeakDuring Anesthesia......Page 41
Manual Ventilation by a SingleOperator:......Page 43
Life-Threatening Arrhythmiain an Infant......Page 46
Tongue Ring: Anesthetic Risks andPotential Complications......Page 49
Hasty C-Arm Positioning:A Recipe for Disaster......Page 52
Inability to Remove aNasogastric Tube......Page 54
An Unusual Cause of Diffi cultTracheal Intubation......Page 56
Pulmonary Edema AfterAbdominal Laparoscopy......Page 58
Diffi cult Laryngeal Mask AirwayPlacement: A Possible Solution......Page 61
Postoperative Airway ComplicationAfter Sinus Surgery......Page 64
Investigating an UnusualCapnograph Tracing: CheckYour Connections......Page 67
Respiratory Dilemma Duringa Transjugular IntrahepaticPortosystemic Shunt Procedure......Page 70
A Tracheostomy Is UrgentlyNeeded, but You Have NeverDone One......Page 72
General Anesthesia for a Patientwith a Diffi cult Airway and aFull Stomach......Page 75
Jehovah’s Witness and a PotentiallyBloody Operation......Page 78
Intraoperative Insuffl ationof the Stomach......Page 81
Sudden Intraoperative Hypotension......Page 83
Overestimation of Blood Pressurefrom an Arterial Pressure Line......Page 86
Severe Decrease in LungCompliance During a Code Blue......Page 89
Shortening Postanesthesia RecoveryTime After an Epidural:Is It Possible?......Page 92
Diffi cult Airway in anUnderequipped Setting......Page 95
Delayed Cutaneous FluidLeak After Removal of anEpidural Catheter......Page 97
Traumatic Hemothorax andSame-Side Central Venous Access......Page 100
Single Abdominal Knife Wound?Easy Case?......Page 103
A Draw-Over Vaporizer with aNonrebreathing Circuit......Page 105
Unexpected Intraoperative “Oozing”......Page 108
Central Venous Access and theObese Patient......Page 111
Taking Over for a Colleague: Alwaysa Potential Concern......Page 114
Intraoperative EpiduralCatheter Malfunction......Page 116
Breathing Diffi culties After anElectroconvulsive Therapy......Page 119
White “Clumps” in the BloodSample from an Arterial Line:Are You Concerned?......Page 122
Anesthesia for a Surgeon WhoHas Previously Lost His Privileges......Page 125
Airway Obstruction ina Prone Patient......Page 127
A Question You Should Always Ask......Page 129
Postoperative Vocal Cord Paralysis......Page 131
A Serious Problem......Page 134
A Leaking Endotracheal Tubein a Prone Patient......Page 137
Lessons from the Field: UnusualProblems Require UnusualSolutions in Impossible Situa......Page 139
An “Old Trick” but aPotential Problem......Page 142
A Loud “Pop” Intraoperatively andNow You Cannot Ventilate......Page 144
Postoperative Median Nerve Injury......Page 146
A Patient in a Halo: Watch Out......Page 148
Now or Never: DevelopingProfessional Judgment......Page 151
General Anesthesia in a Patientwith Chronic Amphetamine Use......Page 153
What Is Wrong with This Picture?......Page 155
The One-Eyed Patient......Page 157
A Near Tragedy......Page 159
Robot-Assisted Surgery:A Word of Caution......Page 161
An Airway Emergency in an Outof Hospital Surgical Offi ce......Page 163
Bonus Question: Is thePatient Paralyzed?......Page 165
Appendix Technique for Making a QuickUnderwater Drain......Page 166