|
|
|
|
|
|
Foreword Jay B. 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 |
|
18 |
Inability to Remove a Nasogastric
Tube |
44 |
|
19 |
An Unusual Cause of Difficult Tracheal 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: Check Your Connections |
57 |
|
24 |
A Respiratory Dilemma during a Transjugular
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 |
|
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 |
|
|
|
|