Download Case Studies of Near Misses in Clinical Anesthesia by John G. Brock-Utne MD PhD FFA(SA) PDF

By John G. Brock-Utne MD PhD FFA(SA)

All anesthesiologists ultimately face the phobia of a “near miss,” whilst a patient’s lifestyles has been placed in danger. studying from the event is essential to professionalism and the continuing improvement of craftsmanship. Drawing on forty-plus years of perform in significant metropolitan hospitals within the usa, Norway, and South Africa, John Brock-Utne, MD provides eighty rigorously chosen instances that offer the foundation for classes and how you can hinder power catastrophe. The circumstances emphasize problem-centered studying and span a wide diversity of topics—from a scourge of working room an infection (could it's the anesthesia equipment?), problems of fiberoptic intubations, and issues of epidural drug pumps, to acting an pressing tracheostomy for the 1st time, operating with an competitive medical professional, and what to do whilst a sufferer falls off the working desk in the course of surgical procedure.

• eighty true-story medical “near misses” by no means sooner than released

• perfect for problem-centered studying

• suggestions, references, and discussions accompany such a lot instances

• wealthy foundation for instructing discussions either in or out of the working room

• Settings comprise refined in addition to rudimentary anesthetic environments

• enhances the author’s different case publication, medical Anesthesia: close to Misses and classes discovered (Springer, 2008)

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1007/978-1-4419-1179-7_6, © Springer Science+Business Media, LLC 2011 17 18 6 Case 6: An Adjuvant to the Cuff-Leak Test Solution You can ascertain the presence of end-tidal CO2 by disconnecting the carbon dioxide/ anesthetic agent sampling tube from the patient’s breathing system. Then you can use the sampling tube to “sniff” the oral cavity to ascertain the presence of end-tidal carbon dioxide [3]. A similar “sniffing technique” using the sampling tube has been previously described to detect leaks in external vaporizers [4].

1997;44:414–25. Smith KJ, Dobranowski J, Yip G, Dauphin A, CHoi PT. Cricoid pressure displaces the esophagus: an observational study using magnetic resonance imaging. Anesthesiology. 2003;99:60–4. Chapter 12 Case 12: A Case of Myasthenia Gravis Today you are assigned to anesthetize a 52-year-old man with myasthenia gravis (MG) for a coiling of his cerebral aneurysm. Myasthenia gravis was diagnosed 9 months ago. The cerebral aneurysm is an incidental finding. You meet the patient in the preoperative holding area.

Grant SA, Murdoch J, Millar K, Kenny GNC. Blood propofol concentration and psychomotor effects on driving skills. Br J Anaesth. 2000;85:396–400. Chung F, Seyone C, Dyck B, Chung A, Ong D, Taylor A, et al. Age related cognitive recovery after anesthesia. Anesth Analg. 1990;71:217–24. Ward B, Imarengiaye C, Peirovy J, Chung F. Cognitive function is minimally impaired after ambulatory surgery. Can J Anaesth. 2005;52:1017–21. Thapar P, Zacny JP, Thompson W, Apfelbaum JL. Using alcohol as a standard to assess the degree of impairment induced by sedative and analgesic drugs used in ambulatory surgery.

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