Clinical Anesthesia (eBook)

John G. Brock-Utne is currently a professor of Anesthesia and the Associate Director of the Anesthesia Residency Program at Stanford University Medical School.  He has written over 200 peer reviewed articles and 370 abstracts and letters, including the book Near Misses in Pediatric Anesthesia.

Table of Contents   1          Case 1: No Fibro-Optic Intubation System – A Potential Problem 2          Case 2: Is the Patient Extubated? 3          Case 3: A Strange Computerized ECG Interpretation 4          Case 4: An Elderly Lady with a Fractured Neck of Femur 5          Case 5: A Spinal Anesthetic That Wears Off Before Surgery Ends. What to Do? 6          Case 6: Just a Simple Monitored Anesthesia Care (MAC) Case 7          Case 7: Smell of Burning in the Operating Room 8          Case 8: A Diabetic Patient for Inguinal Hernia Repair 9          Case 9: The Case of the “Hidden” IV 10        Case 10: Postoperative Painful Eye 11        Case 11: Awake Craniotomy 12        Case 12: Gum Elastic Bougie 13        Case 13: You Smell Anesthesia Vapor. Where Is It Coming From? 14        Case 14: Manual Ventilation of a Patient Turned 180 Degrees Away From the Anesthesia             Machine by a Single Operator. Is It Possible? 15        Case 15: Life Threatening Arrhythmia in a 5 Month Old 16        Case 16: Tongue Ring 17        Case 17: Hasty C-Arm Positioning. A Recipe for Disaster. 18        Case 18: Inability to Remove a Nasogastric Tube 19        Case 19: An Unusual Cause of Difficult Tracheal Intubation 20        Case 20: Pulmonary Edema Following Abdominal Laparoscopy 21        Case 21: A Possible Solution to a Difficult Laryngeal Mask Airway Placement 22        Case 22: Postoperative Airway Complication Following Sinus Surgery 23        Case 23: An Unusual Capnograph Tracing 24        Case 24: A Respiratory Dilemma during a Transjugular Intrahepatic Porto-Systemic           Shunt Procedure (TIPSS) 25        Case 25: A Tracheotomy is Urgently Needed and You Have Never Done One 26        Case 26: General Anesthesia for a Patient with a Difficult Airway and Full Stomach 27        Case 27: A Jehovah’s Witness Patient and a Potentially Bloody Operation 28        Case 28: Laparoscopic Achalasia Surgery 29        Case 29: Sudden Intraoperative Hypotension 30        Case 30: Blood Pressure Difference between a Non-Invasive and an Invasive Blood          Pressure Measurement 31        Case 31: Severe Decrease in Lung Compliance during a Code Blue 32        Case 32: Shortening Post-Anesthesia Recovery Time after an Epidural. Is It Possible? 33        Case 33: At Times You Need To Be a MacGyver 34        Case 34: Delayed Cutaneous Fluid Leak from a Puncture Hole after Removal of an           Epidural Catheter 35        Case 35: Traumatic Hemothorax and Same Side Central Venous Access 36        Case 36: A Single Abdominal Knife Wound. Easy Case? 37        Case 37: A Draw-Over Vaporizer with a Non-Rebreathing Circuit 38        Case 38: Unexpected Intraoperative “Oozing” 39        Case 39: Central Venous Access and the Obese Patient 40        Case 40: Check Your Facts 41        Case 41: Intraoperative Epidural Catheter Malfunction 42        Case 42: Breathing Difficulties after an ECT 43        Case 43: White “Clumps” in the Blood Sample from an Arterial Line 44        Case 44: Anesthesia for a Surgeon Who Has Previously Lost His Privileges 45        Case 45: Airway Obstruction in an Anesthetized Prone Patient 46        Case 46: A Question You Should Always Ask 47        Case 47: Postoperative Vocal Cord Paralysis 48        Case 48: This Is a Serious Problem 49        Case 49: A Leaking Endotracheal Tube in a Prone Patient 50        Case 50: An Impossible Situation? 51        Case 51: An “Old Trick” But a Potential Serious Problem 52        Case 52: A Loud “Pop” Intra-Operatively and Now You Can’t Ventilate 53        Case 53: Postoperative Median Nerve Injury 54        Case 54: A Patient in a Halo 55        Case 55: It Is Now or Never 56        Case 56: General Anesthesia in a Patient with Daily Use of Prescribed Amphetamine 57        Case 57: What Is Wrong With This Picture? 58        Case 58: The One-Eyed Patient 59        Case 59: A Near Tragedy 60        Case 60: Robot Assisted Surgery. A Word of Caution. 61        Case 61: An Airway Emergency in an Out of Hospital Surgical Office 62        Case 62: A Case of Recent Hip Replacement Coming For a Cystoscopy 63        Case 63: A High Glucose Concentration in an Epidural Catheter Aspirate. Should             One     Be Concerned? 64        Case 64: A General Anesthesia in a Patient Who Has Had a Recent Eye Operation 65        Case 65: Another Awake Craniotomy 66        Case 66: Spinal Fracture and Flail-Segment Rib Fractures Following a Motor Vehicle        Accident 67        Case 67: Angioedema in the Emergency Department 68        Case 68: Cranioplasty. Should You Be Concerned? 69        Case 69: More Haste Less Speed 70        Case 70: A Pregnant Patient for a Carpal Tunnel Operation 71        Case 71: A Request to Provide Isoflurane Anesthesia for Treatment of Status Epilepticus 72        Case 72: No Methylene Blue in the Urine. What Would You Do? 73        Case 73: A Right Upper-Lobe Tumor and Concurrent Tracheal Polyp. What Lung             Isolation Technique Would You Use? 74        Case 74: Complete Heart Block during Central Line Placement 75        Case 75: Cervical Hematoma Following Neck Surgery 76        Case 76: Transient Language Disturbance Following General Anesthesia 77        Case 77: A Flexible Suction Catheter Complication 78        Case 78: A Neurosurgical Case with a Sudden Disappearance of the Arterial Line Waveform 79        Case 79: Not Another Corneal Abrasion 80        Case 80: A Maxillofacial Operation 81        Case 81: A Patient with a Transplanted Heart for Cholecystectomy 82        Case 82: A High Total Spinal in an Obstetric Patient 83        Case 83: Peroral Endoscopic Myotomy (POEM) 84        Case 84: A Neonatal Emergency 85        Case 85: This Could Be Serious 86        Case 86: A Case of Acoustic Neuroma 87        Case 87: Is the IV Infiltrated? 88        Case 88: Communication is Essential 89        Case 89: Watch Out 90        Case 90: A Simple Case but it Goes On and On 91        Case 91: Endotracheal Intubation in the ICU. Watch Out. 92        Case 92: A Straight Forward Case, or Is It? 93        Case 93: Postoperative Red Urine 94        Case 94: Patient’s Toes Suddenly Become White during a Lower Limb Operation 95        Case 95: A Percutaneous Tracheostomy 96        Case 96: A Patient in the Prone Position. Watch Out. 97        Case 97: A Patient with Obstructive Sleep Apnea 98        Case 98: A Case of Wegener Granulomatosis 99        Case 99: What Can Possibly Go Wrong? 100      Case 100: Severe Case of Hyperkalemia during Rapid Blood Transfusion 101      Case 101: A Monitor is Just a Machine 102      Case 102: A Case of Preoperative Sinus Tachycardia 103      Case 103: Bonus Question