This comprehensive, problem-based handbook discusses the full range of complications in anesthesiology.
Major sections cover intraoperative and postoperative complications affecting each organ system—respiratory, cardiovascular, neurologic, ophthalmologic, renal, hematologic and hemostatic, gastrointestinal, endocrine, obstetric, immunologic and infectious, and disorders of temperature regulation.
Coverage includes problems that are rarely mentioned in older books, such as ischemic optic neuropathy and postoperative cognitive dysfunction.
Chapters address complications associated with specific equipment and techniques, with adverse drug interactions, and with herbal remedies and over-the-counter medications. Also included are chapters on medicolegal issues and risks to the anesthesiologist.
Contents
Section I: General and Medicolegal Considerations
- Anesthesia, Perioperative Mortality and Predictors of Adverse Outcomes
- Evaluation of Anesthetic Risk
- Quality Assurance and Risk Management
- Medicine and Law: When Two Worlds Collide
Section II: Perioperatiave Clinical
Respiratory
- Respiratory Complications Overview
- The Difficult Airway
- Safety and Hazards Associated with Tracheal Intubation and Use of Supralaryngeal Airways
- Hypoxemia and Hypercapnia
- Bronchospasm
- Aspiration Pneumonitis
- Pneumothorax and Barotrauma
- Pulmonary Edema
- Pulmonary Embolism
Cardiovascular
- Epidemiology and Predictors
- Myocardial Ischemia and Infarction
- Congestive Heart Failure
- Acute Pulmonary Hypertension and Right Heart Failure
- Cardiac Dysrhythmias
- Hypotension and Shock States
- Hypertension
- Cardiac Arrest
Neurologic
- Increased Intracranial Pressure
- Seizures
- Perioperative Stroke
- Coma and Delayed Emergence
- Intraoperative Awareness and Recall
- Postoperative Cognitive Dysfunction
- Spinal Cord Injury
- Ophthalmologic Complications
Renal Dysfunction and Disorders of Fluid and Electrolytes
- Oliguria
- Acute Perioperative Kidney Injury
- Sodium, Potassium and Magnesium
- TURP Syndrome
Hematologic & Hemostatic
- Acute Anemia
- Transfusion Reactions
- Bleeding Complications
- Sickle Cell Abnormalities, Hemolysis and Acute Porphyria
- The Hypercoagulable Patient
Gastrointestinal
- Postoperative Nausea and Vomiting
- Abdominal Compartment Syndrome
- Acute Liver Dysfunction
Endocrine
- Acute Hyperglycemia and Hypoglycemia
- Disorders of the Adrenal Gland
- Morbid Obesity
Disorders of Temperature Regulation
- Unintentional Perioperative Hypothermia
- Hyperthermia
Obstetric
- Labor and Delivery
- Cesarean Section
- Preeclampsia, Eclampsia and HELLP Syndrome
Immunological & Infectious
- Acute Anaphylaxis and Anaphylactoid Reactions
- Viral Infections
Section III: Equipment
- Invasive Monitoring Complications
- Cardiopulmonary Bypass
- Fires and Explosions
- Shock and Electrocution
- Anesthesia Machine Malfunction
Section IV: Anesthetic Techniques
- Positioning
- Complications of the Beach Chair Position
- General Anesthetic Agents
- Adverse Reactions to Local Anesthetics
- Neuraxial Anesthesia
- Injuries Associated with Nerve and Plexus Blocks
- Monitored Anesthesia Care
Section V: Pharmacologic
- Adverse Drug Interactions
- Herbal Remedies and Over-the-Counter Drugs
Section VI: Risks to the Anesthesiologist
- Bioterrorism
- Sleep and Fatigue
- Chemical Agents and Radiation Exposure
- Substance Abuse and Addiction
Index
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