Tips to Reduce Human Errors

Sep 18, 2016 by in ANESTHESIA Comments Off on Tips to Reduce Human Errors

Human factors Description Examples Possible problem-solving strategies Actionism Spontaneous acts without consideration of goals Thereby neglecting to perform necessary steps and overlooking relevant information Case 24 Extubation of a patient…

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Case 28: Strabismus Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 28: Strabismus Surgery

Fig. 28.1 Schematic presentation of the oculocardiac reflex. The afferents (dotted line) travel via the ophthalmic branch of the trigeminal nerve. After synapsing at the brain stem, the efferent impulse…

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Case 9: D&C

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 9: D&C

Severity Systolic pressure gradient [mmHg] Area of valve opening [cm2] I <40 >1.5 II 40–80 0.8–1.5 III 81–120 0.4–0.8 IV >120 <0.4 Aortic valve stenosis increases systolic resistance. The increased…

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Case 22: Knee Joint Replacement

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 22: Knee Joint Replacement

Fig. 22.1 Algorithm of the Department of Anesthesiology of the University Hospital Dresden for perioperative glucocorticoid substitution in patients with Cushing’s syndrome or long-term corticosteroid therapy The anesthesiologist who performed…

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Case 19: Frozen Shoulder

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 19: Frozen Shoulder

Medication class Agent Analgesics Codeine, morphine Antibiotics/antiviral drugs/antimycotics Acyclovir, amphotericin B, cephalosporin, ciprofloxacin, imipenem, metronidazole, rifampicin, penicillin Anticonvulsants Phenytoin, phenobarbital Cardiovascular active medications Clonidine, captopril, digoxin, nifedipine, propranolol Drugs Alcohol,…

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Case 17: The Second Inguinal Hernia

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 17: The Second Inguinal Hernia

Type Characteristic I Ocular myasthenia IIa Light, generalized form IIb Severe generalized form with involvement of the faciopharyngeal and respiratory muscles III Acute, rapidly progressing generalized form with respiratory muscle…

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Case 14: Septoplasty

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 14: Septoplasty

Matthias Hübler, Thea Koch and Karen B. Domino (eds.)Complications and Mishaps in Anesthesia2014Cases – Analysis – Preventive Strategies10.1007/978-3-642-45407-3_14 © Springer-Verlag Berlin Heidelberg 2014 14. Case 14: Septoplasty Katharina Martin1, Mike Hänsel1, Karen B. Domino2   and Matthias Hübler1   (1) Department of Anesthesiology…

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Case 12: Foot Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 12: Foot Surgery

Fig. 12.1 Diagram of a train-of-four (TOF) stimulation and of a post-tetanic count (PTC). Various impulse strengths can be chosen from peripheral nerve stimulator During nerve stimulation, it is important…

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Case 11: Hip Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 11: Hip Surgery

Fig. 11.1 Effects of a sudden increase of the pulmonary artery pressure on the cardiac ejection fraction The exact cause of the reaction to the cement is not fully understood….

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Case 1: Retained Placenta

Sep 18, 2016 by in ANESTHESIA Comments Off on Case 1: Retained Placenta

Fig. 1.1 Algorithm for the unexpected difficult airway of the Department of Anesthesia and Intensive Care of the University Hospital Dresden >> After a few minutes, anesthesia technician Corinne returned…

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