Download Clinical Anesthesiology: Lessons Learned from Morbidity and by Ankur P. Patel MD (auth.), Jonathan L. Benumof (eds.) PDF

By Ankur P. Patel MD (auth.), Jonathan L. Benumof (eds.)

The publication offers greater than 60 real-life instances which jointly memorably and succinctly show the intensity and breadth of medical anesthesiology. each one bankruptcy contains a case precis, questions, classes realized, and chosen references. Tables and specified visible synopses of key instructing issues increase many chapters.

The instances were chosen by means of Dr. Benumof from the Morbidity and Mortality (M & M) meetings of the dep. of Anesthesiology, collage of California, San Diego, which he has moderated the final numerous years, and citizens and junior college have crafted them into the chapters of this ebook. based in a unique approach, the UCSD Anesthesiology M&Ms maximize instructing and studying, and those circumstances deliver that have correct to the reader’s finger counsel.

  • Case assurance of breathing- and circulation-related difficulties, obstetrics, neurology, soreness and neighborhood anesthesia, pediatrics, outpatient surgical procedure, and exact topics
  • source for anesthesiology and important care medication trainees
  • assessment device for board certification or recertification
  • enjoyable interpreting – helpful lessons!

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Additional info for Clinical Anesthesiology: Lessons Learned from Morbidity and Mortality Conferences

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Patient was easily ventilated via mask until he lost twitches. Phenylephrine was sprayed into his nares, and the right nare was serially dilated with lubricated nasal trumpets size 26 through 32 (L-3, L-4). 0 cuffed tube was introduced and direct laryngoscopy with MAC #3 blade was performed (L-3). The tip of the ETT was visualized and McGill forceps introduced to grasp the ETT proximal to the cuff. However, the posterior pharynx was notable for significant soft tissue swelling and some blood. The ETT could not be passed Z.

O2 saturation was in the 80s at this point and the ETT was removed, and patient was ventilated via mask with O2 saturation coming up into the high 90s. FOB was brought in and nasal intubation over the FOB was attempted; however, significant swelling and bleeding made this unsuccessful (L-3, L-4). Again, the nasal RAE tube was removed and patient was ventilated via mask to improve oxygenation. 5, was placed and the patient could be successfully ventilated. The anesthesia team decided to postpone surgery until airway edema was relieved and the patient was better optimized.

There may be kinks in the system leading exhaled gas to the monitor; these kinks can occur in the sampling line, in the endotracheal tube (ETT), and biting on the tube by the patient. Alternatively and oppositely, there may be a disconnect. 3. There may be obstruction in the ETT from four types of fluids: • • • • Blood Pulmonary secretions (edema, mucus) Pus Gastric contents 1 7 Cannot Ventilate, Cannot Intubate Due to Airway Hemorrhage Fig. 3 The tip of the ETT may be occluded by the wall of a deviated trachea, thereby resulting in no PETCO2 detection Endotracheal tube (ETT) Cuff of ETT Deviated wall of trachea Bevel of ETT occluded by wall of trachea 4.

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