All anesthesiologists eventually face the fear of a "near miss,"
when a patient's life has been put at risk. Learning from the
experience is crucial to professionalism and the ongoing
development of expertise. Drawing on forty-plus years of practice
in major metropolitan hospitals in the United States, Norway, and
South Africa, John Brock-Utne, MD presents 80 carefully selected
cases that provide the basis for lessons and tips to prevent
potential disaster. The cases emphasize problem-centered learning
and span a broad range of topics-from an outbreak of operating room
infection (could it be the anesthesia equipment?), complications of
fiberoptic intubations, and problems with epidural drug pumps, to
performing an urgent tracheostomy for the first time, working with
an aggressive surgeon, and what to do when a patient falls off the
operating table during surgery.80 true-story clinical "near misses"
never before published, ideal for problem-centered learning,
recommendations, references, and discussions accompany most cases,
rich basis for teaching discussions both in or out of the operating
room, settings include sophisticated as well as rudimentary
anesthetic environments, complements the author's other case book,
"Clinical Anesthesia: Near Misses and Lessons Learned" (Springer,
2008).
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