Anesthesia Pearls / Edition 1

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More About This Textbook


In this vignette-based companion to the highly popular Anesthesia Secrets, Dr. James Duke and colleagues present a wealth of real-patient cases and focus on the important preoperative, intraoperative, and postoperative anesthetic considerations. For each case, a scenario of a classic or difficult patient problem is introduced, and the reader is challenged to formulate the anesthetic management. The authors then answer the questions they have posed, and each chapter concludes with three or four key "Secrets" distilled from the case.

• Discusses difficult and challenging problems in anesthesiology

• Presents valuable information not found in standard texts

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Product Details

  • ISBN-13: 9781560534952
  • Publisher: Elsevier Health Sciences
  • Publication date: 11/16/2002
  • Series: Pearls Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 211
  • Product dimensions: 6.90 (w) x 10.00 (h) x 0.40 (d)

Table of Contents

1. A 47-year-old woman with postspinal anesthetic pain and dysesthesias
2. A 60-year-old man with postoperative visual loss
3. A 36-year-old woman with multiple sclerosis presents for repair of left anterior cruciate ligament
4. A 54-year-old man with cyanosis and deteriorating pulse oximetry
5. A 9-year-old girl with posttonsillectomy bleeding
6. A 20-year-old woman with long bone fractures and pulmonary and hemodynamic instability
7. A trauma patient with oliguria and ventilatory insufficiency
8. A 47-year-old man with chest pain and imaging abnormalities
9. A 27-year-old healthcare worker with intraoperative cardiovascular collapse
10. A 70-year-old hypertensive man with postinduction hypotension
11. A 74-year-old man with diffuse weakness during critical illness
12. A 47-year-old man with cardiovascular collapse under spinal anesthesia
13. A 22-year-old woman with a poorly functioning epidural catheter for cesarean section
14. A 49-year-old man with postoperative hemorrhage
15. A 52-year-old woman with incomplete epidural analgesia
16. A 33-year-old man with chest pain and tachycardia after a motor vehicle accident
17. A 56-year-old man with postoperative acute renal failure
18. A 54-year-old man with extreme cardiovascular instability postoperatively
19. A 28-year-old man with a difficult airway requiring single-lung ventilation
20. A 75-year-old man with intraoperative deterioration in oxygenation and ventilation
21. A 64-year-old woman with new onset of arrhythmia postoperatively
22. A 27-year-old woman with multiple injuries and metabolic acidosis
23. An 80-year-old woman with rapid heart rate after pneumonectomy
24. A 4-week-old infant with bloody stools and hemodynamic instability
25. A 28-year-old paraplegic man with hypertension and bradcardia during cystoscopy
26. A 45-year-old morbidly obese man with presipitous hemodynamic collapse during endotracheal tube change
27. A 44-year-old woman with dyspnea on recumbency
28. A 68-year-old man requesting epidural analgesia for surgery
29. A 36-year-old woman undergoing abdominal surgery with heavy blood loss
30. A 65-year-old woman with abrupt intraoperative cardiac decompensation
31. A 39-year-old woman with multisystem organ failure and no advance directives
32. A 48-year-old woman with failure to separate from cardiopulmonary bypass
33. A 22-month-old with postoperative respiratory complications
34. A 68-year-old man with colon cancer scheduled for right hemicolectomy
35. A 54-year-old trauma patient with cardiovascular collapse
36. A 54-year-old man in septic shock
37. A 5-year-old girl manifesting difficulty with oral opening during anesthetic induction
38. A 70-year-old man with respiratory depression
39. A 71-year-old man with acute onset of hypotension and tachycardia after percutaneous transluminal coronary angioplasty
40. A 55-year-old woman develops a dysrhythmia
41. A 38-year-old woman with postintubation stridor
42. A 26-month-old boy with a choking episode followed by wheezing
43. A 79-year-old man with a hip fracture and a heart murmur
44. A 69-year-old woman with difficulty inserting a pulmonary artery catheter
45. A 19-year-old man with postoperative respiratory insufficiency
46. An 82-year-old woman with pacemaker complications
47. A 3-year-old trauma patient with impaired upper extremity function
48. A 55-year-old man with "a simple case of resuscitation"
49. A 65-year-old woman with a posttraumatc painful wrist
50. A 46-year-old woman fails to awaken after general anesthesia

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