Near Misses in Pediatric Anesthesia

Front Matter....Pages i-xvi
Case 1: Upper Gastrointestinal Endoscopy Under General Anesthesia....Pages 1-2
Case 2: Sudden Anesthesia System Failure....Pages 3-5
Case 3: Broviac Catheter Placement in a Neonatal Intensive Care Unit....Pages 7-9
Case 4: Occluded Reinforced (Armored) Endotracheal Tube....Pages 11-12
Case 5: The Too-Small Rigid Bronchoscope....Pages 13-14
Case 6: Anaphylaxis, Anaphylactoid Reaction, or What Was It?....Pages 15-17
Case 7: Generalized Convulsions After Regional Anesthesia....Pages 19-21
Case 8: Hypotension During Microdiscectomy....Pages 23-25
Case 9: Intraoperative Hypotension in a Patient Receiving Chronic Steroids....Pages 27-29
Case 10: Changing a Nasotracheal Tube for an Oral Tube in the Intensive Care Unit....Pages 31-32
Case 11: Blocked Intravenous Line During Rapid-Sequence Induction....Pages 33-34
Case 12: Postinduction Difficult Intubation....Pages 35-36
Case 13: Blunt Upper Airway Trauma in a Patient with Recent Polysubstance Abuse....Pages 37-39
Case 14: The Stuck Elevator....Pages 41-42
Case 15: Postoperative Upper Airway Obstruction....Pages 43-45
Case 16: Postoperative Respiratory Complications in a Neonate....Pages 47-48
Case 17: Pregnant Teenager with a Bad Outcome....Pages 49-50
Case 18: Tension Pneumoperitoneum....Pages 51-53
Case 19: A Patient with Status Asthmaticus....Pages 55-58
Case 20: Intraoperative Decrease in Electrocardiogram Amplitude: Cause for Concern?....Pages 59-62
Case 21: Potential Disaster: An Intravenous Line That Stops Working in the Perioperative Phase....Pages 63-64
Case 22: Ventilatory Management in Major Thoracic Incisional Injury....Pages 65-67
Case 23: Airway Leak in a Prone Patient....Pages 69-70
Case 24: Difficulty in Extubation....Pages 71-73
Case 25: Tonsillectomy....Pages 75-76
Case 26: An Unusual Cause of a Serious Cardiac Arrhythmia....Pages 77-80
Case 27: A Patient with Supraglottic Mass....Pages 81-82
Case 28: Pressurized Intravenous Hetastarch....Pages 83-84
Case 29: Intraoperative Hypotension....Pages 85-87
Case 30: Hematuria....Pages 89-90
Case 31: Congenital Complete Heart Block....Pages 91-93
Case 32: Neonatal Respiratory Distress....Pages 95-96
Case 33: Respiratory Distress in the Intensive Care Unit....Pages 97-99
Case 34: The Butterfly Needle (Abbott)....Pages 101-102
Case 35: Hypotension on Induction of Anesthesia in a Trauma Patient....Pages 103-105
Case 36: Delayed Postoperative Respiratory Obstruction....Pages 107-109
Case 37: An Abnormal Capnogram....Pages 111-114
Case 38: Retropharyngeal Abscess....Pages 115-117
Case 39: Rising End-Tidal Carbon Dioxide....Pages 119-121
Case 40: Acute Abdomen....Pages 123-124
Case 41: Difficulty in Ventilation in the Postinduction Period....Pages 125-127
Case 42: Unexplained Low Oxygen Saturation....Pages 129-131
Case 43: Occlusion of an Endotracheal Tube in a Neonate....Pages 133-134
Case 44: Surgical Emphysema After a Motor Vehicle Accident....Pages 135-138
Case 45: Postoperative Respiratory Arrest....Pages 139-140
Case 46: Rapid Increase in Body Temperature After Induction of General Anesthesia....Pages 141-142
Case 47: Intraoperative “Oozing”....Pages 143-145
Case 48: A Tip for Nasotracheal Intubation....Pages 147-149
Case 49: A Case of Anisocoria Following General Anesthesia....Pages 151-152
Case 50: A Routine Tonsillectomy and Adenoidectomy....Pages 153-154
Case 51: Drug Overdose....Pages 155-156
Case 52: Cardiac Arrest in a Neonate....Pages 157-159
Case 53: Bilateral Tourniquets. Beware....Pages 161-162
Case 54: Neurofibromatosis. A Warning....Pages 163-164
Case 55: A Machine Failure....Pages 165-166
Case 56: A Severe Case of Bronchospasm....Pages 167-169
Case 57: A Peanut in the Airway....Pages 171-173
Case 58: A Sprinkler Spike Lodged in a Patient’s Head....Pages 175-177
Case 59: Infusion of Cold Blood. Should We Worry?....Pages 179-181
Case 60: Respiratory Arrest After Extubation....Pages 183-186
Case 61: Sudden Increase in End-Tidal CO 2 ....Pages 187-189
Case 62: A Case of Acute Lymphoblastic Leukemia (ALL)....Pages 191-193
Case 63: Intraoperative Airway Obstruction....Pages 195-196
Case 64: An Anterior Mediastinal Mass. What Will You Do?....Pages 197-199
Case 65: A “Routine” MRI Case....Pages 201-203
Case 66: A Serious Problem During Neurosurgery....Pages 205-207
Case 67: A Case of Severe Intra-abdominal Pressure....Pages 209-212
Case 68: A Case of Severe Laryngospasm....Pages 213-215
Case 69: An ETT Suction Problem....Pages 217-218
Case 70: A Child Refusing an Operation....Pages 219-220
Case 71: Why So Sleepy?....Pages 221-223
Case 72: Check Your Facts....Pages 225-226
Case 73: A Strange Capnogram....Pages 227-229
Case 74: Relying on Others....Pages 231-232
Case 75: Monitored Anesthesia Care. Watch Out....Pages 233-235
Case 76: An Intermittently Worrisome Capnography Trace....Pages 237-239
Case 77: Cardiac Arrest at the Conclusion of Neurosurgery....Pages 241-242
Case 78: Watch Out....Pages 243-244
Case 79: A Complication of Central Venous Cannulation?....Pages 245-246
Case 80: An Example of Murphy’s Law....Pages 247-248
Case 81: A Tragic Case....Pages 249-250
Case 82: Hemoptysis from a 2-Month Tracheostomy....Pages 251-253
Case 83: A Potentially Serious Incident....Pages 255-256
Case 84: Rusty Material in an Oxygen Flowmeter....Pages 257-258
Case 85: A Surprising Solution to an Airway Emergency....Pages 259-260
Case 86: An Airway Leak in the ICU....Pages 261-262
Case 87: Pediatric Dental Anesthesia....Pages 263-264
Back Matter....Pages 265-274