Description

Case Studies of Near Misses in Clinical Anesthesia

Anesthesia Case Studies of Near Misses in Clinical Anesthesia, by John Brock-Utne, MD, presents 80 true-life clinical cases drawn from over forty years of experience in anesthesia practice across diverse global settings, including the United States, Norway, and South Africa. The book focuses on “near misses”—those situations in which a patient’s life is at risk, but disaster is averted. These carefully selected cases provide invaluable lessons for anesthesiologists in managing high-risk situations and developing strategies to prevent potential disasters in the future.

Each case is designed to encourage problem-centered learning, offering insights into various complex challenges faced in both sophisticated and rudimentary anesthetic environments. From issues such as an outbreak of operating room infections, complications arising from fiberoptic intubations, and epidural drug pump failures, to more rare events like performing an urgent tracheostomy or managing a patient who falls off the operating table, the book covers a wide array of scenarios, illustrating the vast spectrum of challenges in anesthesia.

Key features of the book include:

• 80 real-world clinical “near misses” from the author’s diverse practice, offering lessons from both high-tech and low-resource environments.
• Detailed recommendations and reference materials for each case, supporting a deeper understanding of how to handle and avoid similar situations in the future.
• Rich content suitable for teaching discussions in clinical or educational settings, providing a platform for reflection and learning among anesthesia teams.
• Problem-centered learning that helps anesthesiologists critically assess situations and develop practical strategies for avoiding dangerous outcomes.

This book is not only a learning tool for anesthesia residents and experienced professionals, but also an important resource for anyone looking to improve their clinical decision-making skills and enhance patient safety in the operating room. It complements the author’s earlier work, Clinical Anesthesia: Near Misses and Lessons Learned, further solidifying its role in anesthesia education and professional development.

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