Complications in Anesthesia (3rd Edition)

Description

Using a unique, problem-solving approach, Complications in Anesthesia, 3rd Edition, walks you through effective solutions to common complications in anesthesia and critical care. This practical reference uses a highly structured, clearly illustrated format to bring you up to date with what’s new in the field, help you anticipate potential challenges, and guide you through life-saving solutions.

Key Features

• Presents content in an updated, logical organization covering various types of complications (drugs, testing, intubation, line insertion, surgical procedures, etc.) followed by differential diagnosis and treatment of signs of complications (intraoperative, such as hypoxia or hypotension; and postoperative, such as MI).
• Follows a problem-based, practice-oriented approach throughout; case synopses are followed by concise coverage of recognition, risk assessment, implications, management, and prevention.
• Allows you to review the case reports, contemplate the implications, then check your response against what the experts have to say.
• Includes numerous photographs, diagrams, flow charts, and tables that illustrate key concepts.
• Ideal as a clinical reference and as a study tool when preparing for oral boards.

Table of Contents

1. Section 1: Preoperative Conditions
   1. Adrenal Insufficiency
   2. Alzheimer’s Disease
   3. Chemical Dependency: Nonopioids
   4. Chemical Dependency: Opioids
   5. Chronic Opioid Use
   6. Dialysis-Dependent Patients
   7. Do-Not-Resuscitate Orders in the Operating Room
   8. Drugs Affecting the Renin-Angiotensin System
   9. HIV Infection and AIDS
   10. Hypertensive Disorders of Pregnancy
   11. Hyperthyroidism: Thyroid Storm
   12. Hypothyroidism: Myxedema Coma
   13. Mechanical Assist Devices
   14. Myasthenic Disorders
   15. Patient Confidentiality
   16. Patients with Cardiac Rhythm Management Devices
   17. Patients with Seizure Disorders
   18. Perioperative Management of Patients with Muscular Dystrophy
   19. Porphyrias
   20. Preanesthetic Evaluation:  False-Positive Tests
   21. Preanesthetic Evaluation:  Inadequate or Missing Test Result
   22. Preoperative Cardiac Interventions
   23. Sarcoidosis
   24. Sepsis, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
   25. Steroids
   26. The Jehovah’s Witness Patient
   27. Unstable Cervical Spine, Atlantoaxial Subluxation
   28. Upper Respiratory Tract Infection
2. Section 2: Procedure-Related Complications
   1. Abdominal Aortic Aneurysm Repair
   2. Adenotonsillectomy
   3. Anesthesia for Electroconvulsive Therapy
   4. Anesthetic Complications of Fetal Surgery: EXIT Procedures
   5. Antepartum Hemorrhage
   6. Anterior Mediastinal Mass
   7. Anticoagulants and Peripheral Nerve Block
   8. Anticoagulation Initiation and Reversal for Cardiac Surgery
   9. Arteriovenous Malformation: Normal Perfusion Pressure Breakthrough
   10. Bleeding After Cardiac Surgery
   11. Cardiomyopathies
   12. Cardioversion
   13. Carotid Endarterectomy
   14. Chronic NSAID Use
   15. Complications after Pneumonectomy
   16. Complications of Adrenal Surgery
   17. Complications of Carcinoid Tumors
   18. Complications of Laparoscopic Surgery
   19. Complications of Lithotripsy
   20. Complications of Massive Transfusion
   21. Complications of Radical Urologic Surgery
   22. Complications of Spinal Surgery
   23. Complications of Thyroid Surgery
   24. Complications of Transurethral Surgery
   25. Complications of Trauma Surgery
   26. Continuous Nerve Blocks: Perineural Local Anesthetic Infusion
   27. Extremity Tourniquets
   28. Fetal Distress
   29. Foreign Body Aspiration
   30. Head Injury
   31. Hemodilution and Blood Conservation
   32. Intracranial Aneurysms: Rebleeding
   33. Intracranial Aneurysms: Vasospasm and Other Issues
   34. Laryngoscopy and Microlaryngoscopy
   35. Major Organ System Dysfunction after Cardiopulmonary Bypass
   36. Mediastinal Masses
   37. Methylmethacrylate
   38. One-Lung Ventilation
   39. Open Globe Injury
   40. Perioperative Psychological Trauma
   41. Peripheral Vascular Surgery
   42. Pituitary Tumors: Diabetes Insipidus
   43. Posterior Fossa Surgery
   44. Postpartum Hemorrhage
   45. Preterm Labor
   46. Pulmonary Hypertension
   47. Retrobulbar Block
   48. Sedation of Pediatric Patients
   49. Spinal Cord Injury
   50. Thermally Injured Patients
   51. Thoracic Aortic Aneurysm
   52. Toxic Ingestion
   53. Troubleshooting Common Problems During Cardiopulmonary Bypass
3. Section 3: Intraoperative Agents and Potential Complications
   1. Antibiotics
   2. Antiemetic Drugs
   3. Antihistamines: H1- and H2-Blockers
   4. Autonomic Hyperreflexia
   5. Barbiturates: Porphyrias
   6. Disorders of Potassium Balance
   7. Intrathecal Opioids
   8. Ketamine
   9. Magnesium
   10. Magnetic Resonance Imaging
   11. Muscle Relaxants
   12. Nitrous Oxide: Neurotoxicity
   13. Nonbarbiturate Anesthetics
   14. Nondepolarizing Neuromuscular Block
   15. Perioperative Fluid Management
   16. Agents: Naloxone,  Flumazenil, and Sugammadex
   17. Succinylcholine
   18. Volatile Anesthetics: Organ Toxicity
   19. Blood and Blood Products: Infections
   20. Blood and Blood Products: Transfuction Reaction
   21. Epidural Anesthesia: Unintended Intrathecal Injection
   22. Local Anesthetic Systemic Toxicity
   23. Respiration Depression After Spinal Anesthesia
4.  Section 4: Equipment-Related Complications
   1. Anesthesia Circuit
   2. Carbon Dioxide Absorbers
   3. Central Venous Pressure Monitoring
   4. Electrical Safety
   5. Fires in the Operating Room
   6. Flowmeters
   7. Intracranial Pressure Monitoring
   8. Intravenous Drug Delivery Systems
   9. Laser Complications
   10. Mechanical Ventilators
   11. Patient Warming Systems
   12. Pipeline Source Failure
   13. Proportioning Systems
   14. Pulmonary Artery Pressure Monitoring
   15. Rapid Fluid and Blood Delivery Systems
   16. Scavenging Systems
   17. Surgical Diathermy and Electrocautery
   18. Transesophageal Echocardiography
   19. Vaporizers
5.  Section 5: Perioperative Events
   1. Adverse Neurologic Sequelae: Central Neurologic Impairment
   2. Adverse Neurologic Sequelae: Peripheral Nerve Injury
   3. Adverse Outcomes: Withheld Information or Misinformation
   4. Air Emboli
   5. Alleged Malpractice
   6. Anaphylaxis and Anaphylactoid Reactions
   7. Angioedema and Urticaria
   8. Autonomic Dysreflexia
   9. Awareness Under Anesthesia
   10. Bradyarrythmias
   11. Bronchospasm
   12. Celiac Plexus Block: Side Effects and Complications
   13. Corneal Injury
   14. Delayed Emergence
   15. Dental Injuries
   16. Difficult Airway and Failed Extubation
   17. Disorders of Water Homeostasis: Hyponatremia and Hypernatremia
   18. Embolic Events of Pregnancy
   19. Fat Embolism Syndrome
   20. Hypercoagulable States: Thrombosis and Embolism
   21. Hyperglycemia and Diabetic Ketoacidosis
   22. Hyperthermia
   23. Hypothermia
   24. Inadequate Pain Relief
   25. Infectious Complications of Central Neuraxial Block
   26. Interscalene Nerve Block: Potential Severe Complications
   27. Intracranial Hypertension
   28. Intractable Nausea and Vomiting
   29. Laryngeal and Tracheal Injury
   30. Latex Reactions in Health Care Personnel
   31. Local Anesthetic Neurotoxicity: Cauda Equina Syndrome
   32. Long QT Syndromes and Torsade de Pointes
   33. Metabolic Acidosis and Alkalosis
   34. Misidentification of a Patient
   35. Perioperative Hypertension
   36. Perioperative Hypoxia
   37. Perioperative Myocardial Ischemia and Infarction
   38. Perioperative Tachyarrhythmias
   39. Peripartum Neurologic Complications
   40. Persistent Paresthesia
   41. Postobstruction Pulmonary Edema
   42. Postoperative Acute Renal Failure
   43. Postoperative Delirium
   44. Postoperative Hemodynamic Instability
   45. Postoperative Hepatic Dysfunction
   46. Postoperative Peripheral Neuropathy
   47. Postoperative Pulmonary Hypertension
   48. Postoperative Respiratory Failure
   49. Postoperative Respiratory Insufficiency
   50. Postoperative Urinary Retention
   51. Postoperative Visual Loss
   52. Postpartum Headache other Than Post-Dural Puncture Headache
   53. Psoas Compartment Block: Potential Complications
   54. Pulmonary Aspiration
   55. Pulmonary Aspiration in the Parturient
   56. Spinal Anesthesia: Post-Dural Puncture Headache
   57. Spinal Hematoma
   58. Supraclavicular and Infraclavicular Block: Complications
   59. Syringe Swaps
   60. The Hostile-Combative Patient
   61. Thromboembolic Complications
   62. Unanticipated Hospital Admission and Readmission
   63. Uncontrolled Postoperative Pain
   64. Venous Air Embolism
6.  Section 6: Pediatric Perioperative Events
   1. Delayed Emergence in Pediatric Patients
   2. Difficult Pediatric Airway
   3. Emergence Agitation
   4. Hypoglycemia and Hyperglycemia
   5. Hypothermia in Pediatric Patients
   6. Hypoxemia in Pediatric Patients
   7. Intraoperative Cardiac Arrest, Pediatric
   8. Latex Allergy/Anaphylaxis
   9. Malignant Hyperthermia
   10. Ophthalmic Problems and Complications, Pediatric
   11. Pediatric Hyperthermia
   12. Pediatric Laryngospasm
   13. Perioperative Aspiration Pneumonitis, Pediatric
   14. Postintubation Croup
   15. Postobstruction Pulmonary Edema in Pediatric Patients
   16. Postoperative Apnea in Infants
   17. Postoperative Nausea and Vomiting, Pediatric

Authors Biography

Lee Fleisher

Affiliations and Expertise
Robert Dunning Dripps Professor and Chair of Anesthesiology and Critical Care Medicine, Professor of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

Stanley Rosenbaum

Affiliations and Expertise
Professor of Anesthesiology, Internal Medicine & Surgery Director, Division of Perioperative & Adult Anesthesia Vice Chairman for Academic Affairs Department of Anesthesiology Yale University School of Medicine, New Haven, Connecticut