Anaesthetic and Perioperative Complications

Overview

Anesthetic and Perioperative Complications dissects the nature of complications and helps anesthetists and anesthetic practitioners understand, avoid and manage them efficiently. Leading experts combine the detailed clinical management of common and important anesthetic and perioperative complications with discussion of the key philosophical, ethical and medico-legal issues that arise with assessing a medical complication. Initial chapters discuss how and why complications occur, the prevention of complications ...
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Overview

Anesthetic and Perioperative Complications dissects the nature of complications and helps anesthetists and anesthetic practitioners understand, avoid and manage them efficiently. Leading experts combine the detailed clinical management of common and important anesthetic and perioperative complications with discussion of the key philosophical, ethical and medico-legal issues that arise with assessing a medical complication. Initial chapters discuss how and why complications occur, the prevention of complications and risk management. The main body of the text reviews the clinical management of airway, respiratory, cardiovascular, neurological, psychological, endocrine, hepatic, renal and transfusion-related complications, as well as injury during anesthesia, complications related to regional and obstetric anesthesia, drug reactions, equipment malfunction and post- operative management of complications. Each chapter contains sample cases of complications and medical errors, giving clinical scenario, outcomes and recommendations for improved management. This is an important practical and clinical text for all anesthetists and anesthetic practitioners, both trained and trainees.
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Editorial Reviews

From The Critics
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This handbook describes complications related to anesthesia and complications that may occur in the perioperative period. Wherever possible, the mechanism or complication is presented along with suggestions for how to prevent it. The abridged nature of the book makes it a useful companion.
Purpose: The purpose is to familiarize anesthesiologists with common and uncommon complications that arise out of the perioperative anesthetic care of patients. The care of patients has become so safe and accidents have become so uncommon that many physicians are poorly informed about them and even more poorly prepared to manage them. This book bridges this gap.
Audience: The book is directed at trainee anesthesiologists, but the breadth of information it covers makes it useful for even experienced anesthesiologists. It is written by experienced physicians well-versed in the management of these complications.
Features: The first section has three chapters that discuss the science of error making, the principles of managing complications, and ways to prevent them. The next section, and the main body of the book, has 16 chapters that cover all organ systems, including the airway, procedure-related complications, transfusion-related issues, and drug-related complications. It reviews both common and uncommon life-threatening complications related to the different organ systems, noting the scope or incidence of each problem, its underlying etiology, and ways to prevent it or how to manage it. The last section covers the medicolegal aspects of complications, reviewing the components of good consent, how to handle complications that do occur, and aspects of the law related to trials. The book is well written, discussing complications in a systematic fashion, covering mechanisms of injury and clear guidelines for prevention. Although this last section on the medicolegal aspects refers to the British legal system, it teaches principles of complication management not often taught during specialty training.
Assessment: It's hard not to appreciate such a fruitful effort. In anesthesia, there is lot of emphasis on good outcomes, hoping no one will end up with a bad outcome. But when a complication occurs, not everyone is well prepared to minimize the damage, as typical textbooks do not discuss the practical aspects of handling complications. By providing helpful and practical guidelines, this book attempts to fill that gap. Trainee anesthesiologists should buy this book — it will help them be better clinicians.
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Product Details

  • ISBN-13: 9781107002593
  • Publisher: Cambridge University Press
  • Publication date: 9/22/2011
  • Pages: 272
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.60 (d)

Meet the Author

Kamen Valchanov is Consultant Anaesthetist at Papworth Hospital NHS Trust, Cambridge, UK.

Stephen T. Webb is a Consultant in Anaesthesia and Intensive Care at Papworth Hospital NHS Trust, Cambridge, UK.

Jane Sturgess is Consultant Anaesthetist at Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

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Table of Contents

Preface; Foreword; Part I. Generic Aspects of Complications: 1. Preventing complications Jane Sturgess; 2. Managing complications Kamen Valchanov; 3. Risk management Mark Dougherty and Stephen T. Webb; Part II. Clinical Aspects of Complications: 4. Airway complications during anaesthesia Nick Woodall and Helen Goddard; 5. Respiratory complications Andrew Roscoe and Hamish Thomson; 6. Cardiovascular complications Victoria Howell and Joseph E. Arrowsmith; 7. Complications of blood products and fluid infusions Dafydd Thomas and Tom Holmes; 8. Complications during obstetric anaesthesia Felicity Plaat and Matt Wikner; 9. Perioperative neurological complications Nick Lees and Andrew A. Klein; 10. Hepatic, renal and endocrine complications A. J. Varley and F. J. Gilder; 11. Injury during anaesthesia David Bogod and Kasia Szypula; 12. Regional anaesthesia complications T. M. Cook and M. Coupe; 13. Body temperature complications John Andrzejowski and James Hoyle; 14. Equipment malfunction Rajinikanth Sundararajan and Peter Faber; 15. Drug reactions A. Kavanagh and M. Shields; 16. Management of post-operative complications Benias Mugabe and Saxon Ridley; Part III. Ethical and Medico-Legal Complications: 17. Before complications occur: assessing, balancing and explaining risk Derek Duane; 18. After complications occur: explaining complications and outcome, allocating blame, implications for the hospital and the anaesthetist A. Hutchinson and C. Bates; 19. Risk factors for litigation M. D. D. Bell; 20. Management of complaints and litigation in the UK Jane Sturgess and Sam Bass; 21. The role of the expert witness J. Nortje; Index.

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