By John G. Brock-Utne
Authored through “a incredible clinician and award-winning teacher,”* close to Misses in Pediatric Anesthesiology, moment variation is an intensive updating and demanding enlargement of this well known case e-book within the latest anesthesiology subspecialty to be authorized via the yank Board of clinical Specialties.
The booklet includes 87 true-story scientific “near misses,” together with forty circumstances which are fresh. strategies, references, and dialogue accompany every one case. The instances supply a terrific foundation for problem-centered studying and likewise version find out how to examine from event and to keep up professionalism in the course of the lifelong improvement of scientific services.
Dr. Brock-Utne’s most up-to-date case publication presents a pediatric supplement to his bestselling Case stories of close to Misses in scientific Anesthesia (Springer, 2012) and Clinical Anesthesia: close to Misses and classes Learned (Springer, 2008).
* Jay B. Brodsky, MD, from the Foreword.
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Extra resources for Near Misses in Pediatric Anesthesia
Acute adrenal insufficiency presenting as shock after trauma and surgery: three cases and review of the literature. J Trauma. 1992;32:94–100. Fraser CG, Preuss FS, Bigford WD. Adrenal atrophy and irreversible shock associated with cortisone therapy. JAMA. 1952;149:1542–3. Kehlet H, Binder C. Adrenocortical function and clinical course during and after surgery in unsupplemented glucocorticoid-treated patients. Br J Anaesth. 1973;45:1043–8. Sampson PA, Winstone NE, Brooke BN. Adrenal function in surgical patients after steroid therapy.
She is transferred to the operating room with a 4-l oxygen mask for an emergency laparotomy. She is unable to lie flat because of her respiratory distress. Her vital signs include a sinus tachycardia of 110 beats per minute (bpm), blood pressure (BP) 150/90, respiration shallow with a rate of 32, and oxygen saturation 95 %. She complains of severe abdominal pain, cannot get enough air, and is very worried. Question How will you anesthetize this patient, who should be treated as a full stomach? G.
Vecuronium has been promoted as an agent that does not cause histamine release in clinical doses . However, there has been one case report of anaphylactic shock including bronchospasms , one case of bronchospasm , and two cases of histamine release due to the drug [4, 5]. Fisher and Munroe  think that life-threatening anaphylactoid reactions to muscle relaxants occur more commonly than previously thought. Fig. 1 Transient hypotension due to hypovolemia, corrected with 15 mg of ephedrine References 17 Recommendations 1.