Clinical Anesthesia Near Misses and Lessons Learned
Although near-miss situations are fortunately rare in anesthesiology, it is essential to know how to respond if these situations arise. This collection of actual cases, compiled from the author’s thirty-five plus years of practice in major metropolitan ho
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Clinical Anesthesia Near Misses and Lessons Learned John G. Brock-Utne, MD, PhD, FFA(SA) Professor of Anesthesia, Stanford University Medical Center, Stanford, California, USA
John G. Brock-Utne, MD, PhD, FFA(SA) Professor of Anesthesia Stanford University Medical Center Stanford, CA 94305-5640 USA
Library of Congress Control Number: 2007930542 ISBN: 978-0-387-72519-2
e-ISBN: 978-0-387-72525-3
Printed on acid-free paper. © 2008 Springer Science+Business Media, LLC. All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. 9 8 7 6 5 4 3 2 (Corrected at second printing, 2008) springer.com
For the next generation: Matthew B., Tobias J., Anders C. Brock-Utne.
Foreword
How do physicians learn to respond to unfamiliar, unusual situations? Medical textbooks are full of helpful information, but they usually do not address complex clinical scenarios. For anesthesiologists, problems are often encountered in the operating room where textbooks and medical journals are not readily available. Even when a text is handy, practical decisions often must be made immediately. Residents in training, recent graduates, and even the most senior anesthesiologists, learn by experience. Case conferences and grand rounds are held in almost every hospital so that all staff members can share in their colleague’s experiences. In this book, a companion to Near Misses in Pediatric Anesthesia, which was originally published in 1999, John G. Brock-Utne presents a variety of interesting cases. Dr. Brock-Utne has a unique talent for describing real clinical dilemmas and their solutions in a concise, interesting, and entertaining manner. I have known the author for more than 30 years, and his enthusiasm for teaching our residents and medical students, combined with his outstanding abilities as a clinical anesthesiologist, are legendary at Stanford Medical Center. Those same qualities are evident in this book. I believe every reader, from the novice anesthesiologist to the most senior clinician, will benefit from the “experiences” Dr. Brock-Ut
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