Avoiding Common Anesthesia Errors / Edition 2

by Catherine Marcucci MD, Brian T. Gierl MD, Jeffrey R. Kirsch MD

Overview

The full-color Avoiding Common Anesthesia Errors, significantly updated for this second edition, combines patient safety information and evidence-based guidance for over 300 commonly encountered clinical situations. With a format that suggests conversations between an attending and a trainee, the book helps you identify potential problems and develop a treatment plan to minimize the problem. Brief, easy-to-read chapters cover basic and advanced topics and help you digest information in minutes!
 

• Coverage spans the entire field of Anesthesiology—including subspecialties such as airway management, critical care and pain medicine.
• Now with 30% more topics than the first edition.
• Contributors now include more international authors and Certified Nurse Anesthetists (CRNAs).
• Features critical updates to popular chapters and sections related to legal issues, professional practice topics and coding and payment.
• Part of the Avoiding Common Errors series, which presents hard-earned clinical wisdom in an informal, easy-to-read style. 

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Product Details

ISBN-13:	9781451195194
Publisher:	LWW
Publication date:	10/12/2019
Edition description:	Second
Pages:	1152
Product dimensions:	6.00(w) x 9.00(h) x 1.30(d)

Table of Contents

AIRWAY AND VENTILATION
Basics
Advanced
Never neglect the basics of airway management
Basics of airway management-Part II (Tips and Tidbits)
Consider PEEP

Advanced: A variety of techniques provide acceptable anesthesia for awake intubation of the airway: ultimately, the most important factors are operator experience and adequate time
Special Cases: A high inspired concentration of oxygen is contraindicated in certain circumstances
Remember that there are special considerations involved with both intubation and chronic airway management of burn patients

Problem solving: Always troubleshoot an increase in peak airway pressure
Plan for an airway fire with every head and neck case

Know how to perform a cricothyroidotomy
Perioperative Issues
Don'ts: Do not overinflate the cuff of the endotracheal tube

Don't under represent the risks associated with the use of a laryngeal mask airway
Do not be intimidated by the placement and use of double-lumen endotracheal tubes
Do not underestimate the difficulty of reintubating a patient who has undergone carotid endarterectomy or cervical spine surgery Do not start the airway management of a Ludwig angina patient until personnel and equipment for a definitive (surgical) airway are assembled

LINES AND ACCESS Basics:Remember that the IV start is your first chance to make a favorable impression on the patient
Never use an intravenous line without palpating and inspecting it visually
Use of ultrasound guidance for cannulation of the central veins improves success rates, decreases number ofattempts, and lowers complication rates

Central Lines:Central line placement: never neglect the basics
Approach the use of a pulmonary artery catheter with caution
Avoid technique-related central venous catheter complications by using modern tools

Don'ts: Don't overflush lines

Do not use the subclavian vein for central access of any type in a patient planned for dialysis

Errors: Remember that inadvertent intra-arterial injection is not rare
Avoid errors in invasive blood pressure measurement
Remember that loss of a patent hemodialysis fistula in the perioperative period is a serious event for the patient and requires immediate communication with the surgeons

FLUIDS, RESUSCITATION, AND TRANSFUSIONFluids: Hypertonic saline: the "solution" to the solution problem?
Remember that the synthetic colloid solutions have distinct properties and risk/benefit ratios

Resuscitation:Protect the kidneys, not the "UOP"
Do not treat lactic acidosis with bicarbonate
Consider the use of tris-hydroxymethyl aminomethane (THAM)to treat refractory or life-threatening metabolic acidosis
Use the principles of "damage control anesthesia" in the care of the massively bleeding patient and ask the surgeons to implement "damage control surgery" if necessary
"Routine" Labor and Delivery Learn from the care of the combat victim: ask the surgeons to consider damage control surgery for the bleeding patient

Transfusion:Know what screening tests are performed on volunteer donor blood
Transfusion of packed red blood cells requires a careful riskbenefit analysis

MEDICATIONS Perioperative issues:

INTRAOPERATIVE AND PERIOPERATIVE Basics:

REGIONAL ANESTHESIA

PACU

PEDIATRIC ANESTHESIA

NEUROANESTHESIA

CARDIAC ANESTHESIA

OB ANESTHESIA

PAIN MEDICINE

HUMAN FACTORS

LEGAL

PROFESSIONAL PRACTICE

CODING AND PAYMENT-MAKE SURE YOU GET PAID

COMMENCEMENT

Index

Editorial Reviews

Reviewer: Melissa Kreso, MD (University of Rochester Medical Center)
Description: This book covers a multitude of topics in anesthesiology, which often would be considered clinical pearls of wisdom, in a concise form that is difficult to find elsewhere. The information is presented in a condensed, easy-to-read format with a bulleted list at the end highlighting the main points of each chapter. The first 258 chapters cover either common errors debunked or important, clinically relevant concepts that touch on ventilation and airway, access, resuscitation, transfusion medicine, medications, equipment, perioperative, regional, obstetric, pediatric, neuro, and cardiac anesthesia. The coverage of human factors, legal topics, and practice management is unique to this book. The ability to convert this into an audiobook is extremely helpful for busy clinicians on the go looking for a quick review in between cases or while commuting to work. This updates the 2008 first edition.
Purpose: The purpose is to provide information to prevent common mistakes in anesthesiology. Instead of highlighting errors described in the literature, the book focuses on a clinical approach to avoiding and managing these situations. It does this while maintaining a whimsical tone, as if the reader were conversing with a wise professor during training. As published material becomes ever more accessible and myriad books focus on the science of medicine, it is worthwhile to have a book attempting to discuss the art of medicine. This book meets its objectives well. The online version can be used clinically between cases as a quick review to prep for a future case. The audiobook component would be helpful for reviewing material while commuting. These are both useful adjuncts for busy clinicians.
Audience: The audience is anyone practicing in the field of anesthesia. It is easy to see how this book would be immensely helpful to trainees but also to seasoned anesthesiologists. The authors and contributors include academic anesthesiologists from all over the United States as well as nurse anesthetists and trainees.
Features: This is a practical book, offering good advice that is difficult to find in a concise format elsewhere. It contains a collection of anesthesiology pearls for readers of all levels, from students to fully qualified anesthesiologists. Each chapter has a catchy title, concise discussion, main take-home points, and a small section of references. The chapters discuss common errors debunked or a host of subspecialty areas in anesthesiology. A unique feature of this book is the inclusion of 47 chapters on practice management, legal knowledge, and human factors. The glossary is easy to use and search for topics. The headings in each chapter visually allow for easy access to a particular area of interest, which enables quick review of important information.
Assessment: Overall, this well-written book meets its objectives effectively. It would be a solid adjunct for anesthesia providers looking to brush up on infrequently encountered areas of anesthesia or newer advances, or to attain knowledge during training. So many anesthesia books discuss errors by extrapolating on scientific studies and then discussing expert opinion. This approach focuses the attention on the error, its management, and the means to avoid it. With the updates and the 90 additional chapters, this new edition is justified.

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