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Crisis Management in Anesthesiology

  • 2nd Edition - August 21, 2014
  • Latest edition
  • Authors: David M. Gaba, Kevin J. Fish, Steven K. Howard, Amanda Burden
  • Language: English

The long-awaited revision to the definitive source for crisis management in anesthesia provides updated insights on the latest theories, principles, and practices in Anesthesia. Fr… Read more

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Description

The long-awaited revision to the definitive source for crisis management in anesthesia provides updated insights on the latest theories, principles, and practices in Anesthesia. From anesthesiologists and nurse anesthetists to emergency physicians and residents, Crisis Management in Anesthesiology, 2nd Edition will effectively prepare you to handle a critical incident during anesthesia.

Key features

  • Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis
  • React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents
    • Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events
    • Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing
    • eBook version included with purchase

    Readership

    Anesthesiologists and anesthesiology trainees

    Table of 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

    Review quotes

    "The distinguished authors of this latest edition build on these foundations, which now include new chapters on teaching CRM and the vitally important skill of debriefing colleagues after they have experienced such challenging events. The catalogue of critical incidents has been completely overhauled and updated, to reflect contemporary practice with nearly 20 new scenarios added". --Reviewed by British Journal of Anaesthesia, Jun 2015

    "Those preparing for examinations, including maintenance of certification, or those preparing others for these exams will find this book to be an excellent resource." --Reviewed by Jane Torrie, Oct 2015

    “This is a tremendous book with the single focus of improving patient safety in the fluid situation of anesthesia administration. Every residency program has a curriculum to deal with predictable situations, but not necessarily with unpredictable situations. Other books on similar topics stress medical knowledge to improve the safety of patients, but this is the only one that highlights the importance of the development of cognitive and behavioral skills that are important for averting disaster in crisis situations. This is a must read for safe and better care of patients under anesthesia.” --Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine) Doody's Score: 100 – 5 Stars!

    "Who should buy this book? The authors state in the Preface that they wrote it for everyone who administers anesthesia, from trainees to experienced practitioners. I have to say that I enthusiastically agree!" --Manuel Pardo, Jr., M.D., University of California (Anesthesiology 2016; 124:738-40)

    Product details

    • Edition: 2
    • Latest edition
    • Published: August 21, 2014
    • Language: English

    About the authors

    DG

    David M. Gaba

    David Gaba is a Professor, Anesthesiology, Perioperative and Pain Medicine and Associate Dean for Immersive and Simulation-based Learning in Stanford University School of Medicine.
    Affiliations and expertise
    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

    KF

    Kevin J. Fish

    Affiliations and expertise
    Professor Emeritus, Anesthesiology, Pain and Perioperative Medicine, Stanford University, Stanford, CA; Per diem Staff Anesthesiologist, Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA

    SH

    Steven K. Howard

    Steven K. Howard is a Professor Emeritus of Anesthesia, Stanford University School of Medicine, Palo Alto, California.
    Affiliations and expertise
    Professor Emeritus of Anesthesia, Stanford University School of Medicine, Palo Alto, California

    AB

    Amanda Burden

    Amanda Burden is Assistant Dean for Clinical Skills and Simulation and Professor of Anesthesiology at Cooper Medical School of Rowan University and Director of Clinical Skills and Simulation at Cooper University Health Care.
    Affiliations and expertise
    Assistant Dean for Clinical Skills and Simulation, Professor of Anesthesiology, Vice Chair & Chief of Faculty Affairs, Cooper Medical School of Rowan University, Director of Clinical Skills and Simulation, Cooper University Health Care, Camden, New Jersey.