Crisis Management in Anesthesiology E-Book

The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians and residents, this medical reference book will effectively prepare you to handle any critical incident during anesthesia.

• Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis.
• React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents.
• Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events.
• Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing.
• Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.

Autorentext

David Gaba is a Professor, Anesthesiology, Perioperative and Pain Medicine and Associate Dean for Immersive and Simulation-based Learning in Stanford University School of Medicine.

Inhalt

1. Fundamentals of Dynamic Decision Making in Anesthesia

2. Specific Principles of Anesthesia Crisis Resource Management

3. Teaching Anesthesia Crisis Resource Management

4. Debriefing

5. Generic Events

Acute Hemorrhage

Cardiac Arrest

Difficult Tracheal Intubation

Emergent (Crash) Induction of Anesthesia

Esophageal Intubation

High Inspired CO2

High Peak Inspiratory Pressure

Hypertension

Hypotension

Hypoxemia

Operating Room Fire

ST Segment Change

The Septic Patient

The Trauma Patient

6. Cardiovascular Events Acute Coronary Syndrome

Anaphylactic and Anaphylactoid Reactions

Autonomic Dysreflexia

Cardiac Tamponade

Nonlethal Ventricular Arrhythmias

Pulmonary Edema

Pulmonary Embolism

Sinus Bradycardia

Supraventricular Arrhythmias

Venous Gas Embolism

7. Pulmonary Events Airway Burn

Airway Rupture

Anterior Mediastinal Mass

Aspiration of Gastric Contents

Bronchospasm

Endobronchial Intubation

Epiglottitis (Supraglottitis)

Hypercarbia

Hypoxemia During One-Lung Ventilation

Massive Hemoptysis

Pneumothorax

Postoperative Stridor

Unplanned Extubation

8. Metabolic Events Addisonian Crisis (Acute Adrenal Insufficiency)

Diabetic Ketoacidosis

Hyperkalemia

Hypoglycemia

Hypokalemia

Hyponatremia and Hypo-osmolality

Hypothermia

Malignant Hyperthermia

Metabolic Acidosis

Methemoglobinemia

Oliguria

Thyroid Storm

Transfusion Reaction

9. Neurologic Events Central Nervous System Injury

Local Anesthetic Systemic Toxicity

Perioperative Visual Loss

Peripheral Nerve Injury

Postoperative Alteration in Mental Status

Postoperative Failure to Breathe

Seizures

10. Equipment Events Carbon Monoxide in the Anesthesia Circuit

Circle System Expiratory Valve Stuck Closed

Circle System Inspiratory Valve Stuck Closed

Circle System Valve Stuck Open

Common Gas Outlet Failure

Drug Administration Error

Electrical Power Failure

Faulty Oxygen Supply

Gas Flow Control Malfunction

Intravenous Line Failure

Loss of Pipeline Oxygen

Major Leak in the Anesthesia Breathing Circuit

Pop-Off Valve Failure

Ventilator Failure

Volatile Anesthetic Overdose

Waste Anesthesia Gas Disposal System Malfunction

11. Cardiac Anesthesia Events Cardiac Laceration

Coagulopathy Following Cardiopulmonary Bypass

Emergent "Crash" onto Cardiopulmonary Bypass

Hypotension During Cardiopulmonary Bypass

Low Cardiac Output State Post-Cardiopulmonary Bypass

Massive Systemic Air Embolism

Protamine Reaction

12. Obstetric Events Amniotic Fluid Embolism (also termed Anaphylactoid Syndrome of Pregnancy)

Cardiac Arrest in the Parturient

Difficult Airway in the Parturient

Emergency Cesarean Section

Hypotension Following Neuraxial Anesthesia

Magnesium Toxicity

Obstetric Hemorrhage

Pre-eclampsia and Eclampsia

Total Spinal Anesthesia

13. Pediatric Events Acute Hemorrhage in the Pediatric Patient

Anaphylaxis in the Pediatric Patient

Aspiration of a Foreign Body

Bradycardia in the Pediatric Patient

Cardiac Arrest in the Pediatric Patient

Difficult Airway Management in the Pediatric Patient

Hypotension in the Pediatric Patient

Laryngospasm

Masseter Muscle Rigidity

Sinus Tachycardia in the Pediatric Patient