Crisis Management in Anesthesiology, 3rd Edition

by David M. Gaba, MD, Steven K. Howard, MD and Amanda Burden, MD

Paperback

ISBN: 9780443115066

Page Count: 447

Imprint: Elsevier

List Price: $72.99

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Regarded as the definitive resource in this high-stakes area of anesthesia, Crisis Management in Anesthesiology, 3rd Edition, provides comprehensive, up-to-date guidance, practical protocols, and simulation-based training strategies for handling a broad spectrum of critical incidents in the OR. This unique guide is an outstanding reference for anesthesiologists, nurse anesthetists, emergency physicians, residents, and those preparing for certification or recertification—anyone who needs reliable, state-of-the-art information on how to handle a critical event during anesthesia.

Key Features
- Features a catalogue of critical incidents that comprehensively outline potential intraoperative emergencies, along with step-by-step guidance for effective response and resolution
- Contains new and updated content throughout, including new events such as serotonin syndrome and tracheostomy emergencies
- Presents new guidance on incorporating special OR hats for personnel, clearly indicating names and position
- Enhances your reaction time and decision-making skills through simulation-based training for managing critical incidents
- Includes separate, dedicated chapters on equipment events, obstetric events, and pediatric events
- Reinforces essential knowledge on the diagnosis and management of a wide range of life-threatening events, serving as a valuable review for all members of the anesthesia care team
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date
Contents

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
Authors

David M. Gaba, MD, Associate Dean for Immersive and Simulation-based Learning and Professor of Anesthesia, Stanford University; Staff Anesthesiologist and Director, Patient Simulation Center of Innovation, VA Palo Alto Health Care System, Palo Alto, California, USA, Steven K. Howard, MD, Associate Professor of Anesthesia, Stanford University School of Medicine; Staff Anesthesiologist Anesthesiology and Perioperative Care Service, VA Palo Alto HCS, Palo Alto, California, USA and Amanda Burden, MD, Associate Professor of Anesthesiology, Director Simulation Program, Cooper Medical School of Rowan University, Cooper University Hospital, Camden, New Jersey, USA