Case Studies of Near Misses in Clinical Anesthesia
https://libcat.nshealth.ca/en/permalink/provcat28792
by John G. Brock-Utne, MD, PhD, FFA(SA).
--New York, NY:
Springer Science+Business Media
, c2011.
- Available Online
- View e-Book
- Location
- Online
- Available Online
- View e-Book
- Author
- Brock-Utne, John G
- Responsibility
- by John G. Brock-Utne, MD, PhD, FFA(SA)
- Place of Publication
- New York, NY
- Publisher
- Springer Science+Business Media
- Date of Publication
- c2011
- ISBN
- 9781441911797
- Subjects (MeSH)
- Anesthesia - adverse effects - Case Reports
- Intraoperative Complications - Case Reports
- Subjects (LCSH)
- Anesthesiology
- Format
- e-Book
- Location
- Online
Clinical anesthesia : near misses and lessons learned
https://libcat.nshealth.ca/en/permalink/provcat23709
Brock-Utne, John G.
--New York, NY:
Springer
, 2008.
- Call Number
- WO 245 B864c 2008
- Location
- Halifax Infirmary
- Call Number
- WO 245 B864c 2008
- Author
- Brock-Utne, John G
- Alternate Title
- Clinical anaesthesia
- Place of Publication
- New York, NY
- Publisher
- Springer
- Date of Publication
- 2008
- Physical Description
- 163 p.
- ISBN
- 9780387725192
- Subjects (MeSH)
- Anesthesia - adverse effects - Case Reports
- Format
- Book
- Location
- Halifax Infirmary
- Loan Period
- 3 weeks
Clinical Anesthesia : Near Misses and Lessons Learned
https://libcat.nshealth.ca/en/permalink/provcat29295
by John G. Brock-Utne.
--New York, NY:
Springer
, c2008.
- Available Online
- View e-Book
- Location
- Online
- Available Online
- View e-Book
- Author
- Brock-Utne, John G
- Responsibility
- by John G. Brock-Utne
- Place of Publication
- New York, NY
- Publisher
- Springer
- Date of Publication
- c2008
- ISBN
- 9780387725253
- Subjects (MeSH)
- Anesthesia - adverse effects - Case Reports
- Intraoperative Complications - Case Reports
- Subjects (LCSH)
- Anesthesiology
- Format
- e-Book
- Location
- Online
Clinical anesthesiology : lessons learned from morbidity and mortality conferences
https://libcat.nshealth.ca/en/permalink/provcat33819
Jonathan L. Benumof, editor.
--New York:
Springer
, c2014.
- Available Online
- View e-Book
- Location
- Online
The book presents more than 60 real-life cases which together memorably and succinctly convey the depth and breadth of clinical anesthesiology. Each chapter includes a case summary, questions, lessons learned, and selected references. Tables and distinctive visual synopses of key teaching points enhance many chapters. The cases have been selected by Dr. Benumof from the Morbidity and Mortality (M & M) conferences of the Department of Anesthesiology, University of California, San Diego, which he…
- Available Online
- View e-Book
- Other Authors
- Benumof, Jonathan
- Responsibility
- Jonathan L. Benumof, editor
- Place of Publication
- New York
- Publisher
- Springer
- Date of Publication
- c2014
- Physical Description
- 1 online resource (xxxii, 563 pages)
- ISBN
- 9781461486961 (electronic bk.)
- 9781461486954
- Subjects (MeSH)
- Anesthesia - adverse effects - Case Reports
- Intraoperative Complications - prevention & control - Case Reports
- Patient Harm - prevention & control - Case Reports
- Subjects (LCSH)
- Anesthesiology
- Anesthesia - Case studies
- Abstract
- The book presents more than 60 real-life cases which together memorably and succinctly convey the depth and breadth of clinical anesthesiology. Each chapter includes a case summary, questions, lessons learned, and selected references. Tables and distinctive visual synopses of key teaching points enhance many chapters. The cases have been selected by Dr. Benumof from the Morbidity and Mortality (M & M) conferences of the Department of Anesthesiology, University of California, San Diego, which he has moderated the last several years, and residents and junior faculty have crafted them into the chapters of this book. Structured in a novel way, the UCSD Anesthesiology M & Ms maximize teaching and learning, and these cases bring that experience right to the reader's finger tips. Case coverage of respiration- and circulation-related problems, obstetrics, neurology, pain and regional anesthesia, pediatrics, outpatient surgery, and special topics; Resource for anesthesiology and critical care medicine trainees; Review tool for board certification or recertification; Fun reading; Valuable lessons.
- Contents
- I. Respiration-Related Cases -- 1. Cannot Ventilate, Cannot Intubate Due to Airway Hemorrhage -- 2. Pulmonary Edema Following Attempted Nasal Intubation for Mandibular Fracture Repair -- 3. Loss of Critical Airway -- 4. Anterior Mediastinal Mass -- 5. Awake Intubation with a NIM Tube: How is it done? -- 6. Hemodynamic Collapse Following a Mainstem Intubation -- 7. Hypoxemia During Tracheostomy -- 8. Anesthetic Depth and Mask Ventilation in the Prone Position -- 9. Jet Ventilation through a Cookgas Airway Exchange Catheter -- 10. End of Case Evaluation and Management of a Patient Post Airway Mass Excision -- 11. Possible Recurrent Laryngeal Nerve Injury -- 12. Obstructive Sleep Apnea, and Dead in Bed -- 13. Bilevel Positive Air Pressure, Decreased Sensorium, Aspiration and Capnography -- 14. Perioperative Management of a Patient Previously Treated with Bleomycin Undergoing Thoracic Surgery -- 15. Intra-Operative Airway Fire -- 16. Obesity Hypoventilation Syndrome -- II. Circulation-Related Cases -- 17. Hemorrhage During Endovascular Repair of Thoracic Aorta -- 18. Pacemakers and Automatic Implantable Cardioverter Defibrillators -- 19. Acute Myocardial Infarction during Laparoscopic Surgery -- 20. Sickle Cell and Preeclampsia -- 21. Dysrhythmias in a Patient with Crohn's Disease -- 22. Hematologic Disorders: Hemophilia and Disseminated Intravascular Coagulation -- 23. Blood Transfusion and the Jehovah's Witness Patient -- 24. Cardiac and Pulmonary Contusions -- 25. Intraoperative Coagulopathy -- 26. Hypotension in Chronic Methamphetamine User -- 27. Venous Air Embolism During Arteriovenous Malformation Repair -- 28. Cardiac Tamponade -- 29. Case of Intraoperative New-Onset Atrial Fibrillation -- 30. Valvular Disease -- III. Obstetrics-Related Cases -- 31. Labor Epidural with Unrecognized Dural Puncture, Causing High Sensory Block, Hypotension, Fetal Bradycardia and Post Dural Puncture Headache -- 32. Acute Pulmonary Dysfunction Immediately After Cesarean Delivery Under General Anesthesia -- 33. Jehovah's Witness With Placenta Previa and Increta for Cesarean Hysterectomy -- 34. A Pregnant Patient With Mitral Stenosis -- 35. Unrecognized Uterine Hyperstimulation Due to Oxytocin and Combined Spinal-Epidural Analgesia -- 36. Super Morbidly Obese Patient for Elective Repeat Cesarean Section -- 37. Probable Amniotic Fluid Embolus -- 38. Emergent Cesarean Section -- 39. Pregnancy Plus Atrial Septal Defect vs Eisenmenger Syndrome -- 40. Uterine Abruption -- IV. Pediatric-Related Cases -- 41. Neonatal Resuscitation Following Spontaneous Vaginal Delivery -- 42. Anxious, Coughing and Bound to Obstruct -- V. Special Diseases/Conditions/Situations -- 43. Hypothermia During Laparoscopic Nephrectomy -- 44. Operating Room Management Case Scenarios -- 45. Anaphylaxis Reactions -- 46. Autonomic Dysreflexia -- 47. Porphyrias -- 48. Monitored Anesthesia Care: Medical Implications; and Wrong-Sided Operations: Legal Implications -- 49. Diabetic Ketoacidosis in the Urgent Anesthesia Setting -- 50. Fever, Altered Mental Status, and Rigidity in the Perioperative Course -- VI. Neuro/Neuromuscular-Related Cases -- 51. Emergent Craniotomy for Evacuation of Epidural Hematoma -- 52. Hyperkalemia and Residual Neuromuscular Blockade after Kidney Transplantation -- 53. A Defasciculating Dose of Nondepolarizing Neuromuscular Blocker -- 54. Postoperative Monocular Vision Loss -- 55. Delayed Emergence After Aneurysm Clipping -- VII. Pain and Regional Anesthesia Related Cases -- 56. Unintentional Dural Puncture in a Patient with Severe Preeclampsia -- 57. Complex Regional Pain Syndrome -- 58. Vascular Absorption of Local Anesthetic Producing Systemic Toxicity -- 59. Inadvertent High Spinal in Parturient -- VIII. Outpatient Surgery-Related Cases -- 60. Plastic Surgery in a Surgeon's Office -- 61. Orthopedic Surgery in an Ambulatory Surgicenter -- 62. Eye Surgery at an Outpatient Surgicenter -- 63. Endoscopic Sinus Surgery at an Outpatient Sugicenter.
- Format
- e-Book
- Location
- Online
Complications and mishaps in anesthesia : cases, analysis, preventive strategies
https://libcat.nshealth.ca/en/permalink/provcat33666
Matthias Hübler, Thea Koch, Karen B. Domino, editors.
--Heidelberg:
Springer
, c2014.
- Available Online
- View e-Book
- Location
- Online
Ability to learn from errors is an essential aspect of the quest to improve treatment quality and patient safety. This book consists of 33 cases in anesthesiology that are based on real life situations and illuminate avoidable complications and mishaps. The cases are presented in a novel manner in that they are embedded within narratives. The reader comes to each case cold, without any clue as to the content, and each case comprises a narrative and a factual component that are interwoven. The n…
- Available Online
- View e-Book
- Other Authors
- Hübler, Matthias
- Koch, Thea
- Domino, Karen B.
- Responsibility
- Matthias Hübler, Thea Koch, Karen B. Domino, editors
- Place of Publication
- Heidelberg
- Publisher
- Springer
- Date of Publication
- c2014
- Physical Description
- 1 online resource (xxv, 365 pages)
- ISBN
- 9783642454073 (electronic bk.)
- 9783642454066
- Subjects (MeSH)
- Anesthesia - adverse effects - Case Reports
- Intraoperative Complications - prevention & control - Case Reports
- Medical Errors - prevention & control - Case Reports
- Subjects (LCSH)
- Anesthesia - Complications
- Anesthesia - Complications - Case studies
- Abstract
- Ability to learn from errors is an essential aspect of the quest to improve treatment quality and patient safety. This book consists of 33 cases in anesthesiology that are based on real life situations and illuminate avoidable complications and mishaps. The cases are presented in a novel manner in that they are embedded within narratives. The reader comes to each case cold, without any clue as to the content, and each case comprises a narrative and a factual component that are interwoven. The narrative parts provide the reader with information and tips regarding the clinical problems and tasks that the protagonist must face and try to solve. The idea is to engage the reader emotionally while reading and to entertain him or her while learning. All cases conclude with short debriefing sections which include possible strategies to prevent similar errors or mishaps.
- Contents
- Case 1: Retained Placenta -- Case 2: Elbow Dislocation with Fracture -- Case 3: Pancreatic Surgery -- Case 4: A Day in the PACU -- Case 5: TUR of the Prostate -- Case 6: Tonsillectomy: Hurray, a Child! -- Case 7: The Rebleed: Uh-Oh, a Child! -- Case 8: Bowel Obstruction -- Case 9: D&C -- Case 10: Inguinal Hernia Repair -- Case 11: Hip Surgery -- Case 12: Foot Surgery -- Case 13: Spinal Stenosis -- Case 14: Septoplasty -- Case 15: Cosmetic Surgery -- Case 16: Laparoscopic Cholecystectomy -- Case 17: The Second Inguinal Hernia -- Case 18: Hip Fracture -- Case 19: Frozen Shoulder -- Case 20: Forearm Fracture -- Case 21: Colectomy -- Case 22: Knee Joint Replacement -- Case 23: Laser Surgery -- Case 24: Tibia Fracture -- Case 25: Inguinal Abscess -- Case 26: Aortic Aneurysm -- Case 27: Dyspnea -- Case 28: Strabismus Surgery -- Case 29: Thoracic CT Scan -- Case 30: Cerebrovascular Accident -- Case 31: Prostatectomy -- Case 32: Angiography -- Case 33: Glioblastoma -- Tips to Reduce Human Errors.
- Format
- e-Book
- Location
- Online
