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By James Duke, MD, MBA, Assistant Professor, Department of Anesthesiology, University of Colorado Health Sciences Center; Associate Director of Anesthesiology, Denver Health Medical Center, Denver, CO
Description 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.
Audience
Anesthesiologists, Nurse anesthetists
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
Bibliographic details
Paperback, 211 pages, publication date: OCT-2002
ISBN-13: 978-1-56053-495-2
ISBN-10: 1-56053-495-8
Imprint: HANLEY AND BELFUS MEDICAL PUBLISHERS