Near Misses in Pediatric Anesthesia

<p>Chapter 1.         Case 1: Upper Gastrointestinal Endoscopy under General Anesthesia</p><p>Chapter 2.         Case 2: Sudden Anesthesia System Failure</p><p>Chapter 3.         Case 3: Broviac Catheter Placement in a Neonatal Intensive Care Unit</p><p>Chapter 4.         Case 4: Occluded Reinforced (Armored) Endotracheal Tube</p><p>Chapter 5.         Case 5: The Too-Small Rigid Bronchoscope</p><p>Chapter 6.         Case 6: Anaphylaxis, Anaphylactoid Reaction, Or What Was It?</p><p>Chapter 7.         Case 7: Generalized Convulsions after Regional Anesthesia</p><p>Chapter 8.         Case 8: Hypotension during Microdiscectomy</p><p>Chapter 9.         Case 9: Intraoperative Hypotension in a Patient Receiving Chronic Steroids</p><p>Chapter 10.     Case 10: Changing a Nasotracheal Tube for an Oral Tube in the Intensive Care Unit</p><p>Chapter 11.     Case 11: Blocked Intravenous Line during Rapid-Sequence Induction</p><p>Chapter 12.     Case 12: Postinduction Difficult Intubation</p><p>Chapter 13.     Case 13: Blunt Upper Airway Trauma in a Patient with Recent Polysubstance Abuse</p><p>Chapter 14.     Case 14: The Stuck Elevator</p><p>Chapter 15.     Case 15: Postoperative Upper Airway Obstruction</p><p>Chapter 16.     Case 16: Postoperative Respiratory Complications in a Neonate</p><p>Chapter 17.     Case 17: Pregnant Teenager with a Bad Outcome</p><p>Chapter 18.     Case 18: Tension Pneumoperitoneum</p><p>Chapter 19.     Case 19: A Patient with Status Asthmaticus</p><p>Chapter 20.     Case 20: Intraoperative Decrease in Electrocardiogram Amplitude: Cause for Concern?</p><p>Chapter 21.     Case 21: Potential Disaster: An Intravenous Line That Stops Working in the Perioperative Phase</p><p>Chapter 22.     Case 22: Ventilatory Management in Major Thoracic Incisional Injury</p><p>Chapter 23.     Case 23: Airway Leak in a Prone Patient</p><p>Chapter 24.     Case 24: Difficulty in Extubation</p><p>Chapter 25.     Case 25: Tonsillectomy</p><p>Chapter 26.     Case 26: An Unusual Cause of a Serious Cardiac Arrhythmia</p><p>Chapter 27.     Case 27: A Patient with Supraglottic Mass</p><p>Chapter 28.     Case 28: Pressurized Intravenous Hetastarch</p><p>Chapter 29.     Case 29: Intraoperative Hypotension</p><p>Chapter 30.     Case 30: Hematuria</p><p>Chapter 31.     Case 31: Congenital Complete Heart Block</p><p>Chapter 32.     Case 32: Neonatal Respiratory Distress</p><p>Chapter 33.     Case 33: Respiratory Distress in the Intensive Care Unit</p>Chapter 34.     Case 34: The Butterfly Needle (Abbott)</p><p>Chapter 35.     Case 35: Hypotension on Induction of Anesthesia in a Trauma Patient</p><p>Chapter 36.     Case 36: Delayed Postoperative Respiratory Obstruction</p><p>Chapter 37.     Case 37: An Abnormal Capnogram</p><p>Chapter 38.     Case 38: Retropharyngeal Abscess</p><p>Chapter 39.     Case 39: Rising End-Tidal Carbon Dioxide</p><p>Chapter 40.     Case 40: Acute Abdomen</p><p>Chapter 41.     Case 41: Difficulty in Ventilation in the Postinduction Period</p><p>Chapter 42.     Case 42: Unexplained Low Oxygen Saturation</p><p>Chapter 43.     Case 43: Occlusion of an Endotracheal Tube in a Neonate</p><p>Chapter 44.     Case 44: Surgical Emphysema after a Motor Vehicle Accident</p><p>Chapter 45.     Case 45: Postoperative Respiratory Arrest</p><p>Chapter 46.     Case 46: Rapid Increase in Body Temperature after Induction of General Anesthesia</p><p>Chapter 47.     Case 47: Intraoperative "Oozing"</p><p>Chapter 48.     Case 48:  A Tip for Nasotracheal Intubation</p><p>Chapter 49.     Case 49:  A Case of Anisocoria Following General Anesthesia </p><p>Chapter 50.     Case 50:  A Routine Tonsil- and Adenoidectomy</p><p>Chapter 51.     Case 51:  Drug Overdose</p><p>Chapter 52.     Case 52:  Cardiac Arrest in a Neonate</p><p>Chapter 53.     Case 53:  Bilateral Tourniquets.  Beware</p><p>Chapter 54.     Case 54:  Neurofibromatosis.  A Warning.</p><p>Chapter 55.     Case 55:  A Machine Failure</p><p>Chapter 56.     Case 56:  A Severe Case of Bronchospasm</p><p>Chapter 57.     Case 57:  A Peanut in the Airway</p><p>Chapter 58.     Case 58:  A Sprinkler Spike Lodged in a Patient’s Head</p><p>Chapter 59.     Case 59:  Infusion of Cold Blood.  Should We Worry?</p><p>Chapter 60.     Case 60:  Respiratory Arrest after Extubation</p><p>Chapter 61.     Case 61:  Sudden Increase in End-Tidal CO₂</p><p>Chapter 62.     Case 62:  A Case of Acute Lymphoblastic Leukemia (ALL)</p><p>Chapter 63.     Case 63:  Intraoperative Airway Obstruction</p><p>Chapter 64.     Case 64:  An Anterior Mediastinal Mass. What Will You Do?</p><p>Chapter 65.     Case 65:  A “Routine” MRI Case </p><p>Chapter 66.     Case 66:  A Serious Problem during Neurosurgery</p><p>Chapter 67.     Case 67:  A Case of Severe Intra-abdominal Pressure</p><p>Chapter 68.     Case 68:  A Case of Severe Laryngospasm</p><p>Chapter 69.     Case 69:  An ETT Suction Problem</p>Chapter 70.     Case 70:  A Child Refusing an Operation</p><p>Chapter 71.     Case 71:  Why So Sleepy?</p><p>Chapter 72.     Case 72:  Check Your Facts</p><p>Chapter 73.     Case 73:  A Strange Capnogram</p><p>Chapter 74.     Case 74:  Relying on Others</p><p>Chapter 75.     Case 75:  Monitored Anesthesia Care.  Watch Out.</p><p>Chapter 76.     Case 76:  An Intermittently Worrisome Capnography Trace</p><p>Chapter 77.     Case 77:  Cardiac Arrest at the Conclusion of Neurosurgery</p><p>Chapter 78.     Case 78:  Watch Out</p><p>Chapter 79.     Case 79:  A Complication of Central Venous Cannulation?</p><p>Chapter 80.     Case 80:  An Example of Murphy’s Law</p><p>Chapter 81.     Case 81:  A Tragic Case</p><p>Chapter 82.     Case 82:  Hemoptysis from a 2-Month Tracheostomy</p>Chapter 83.     Case 83:  A Potentially Serious Incident</p><p>Chapter 84.     Case 84:  Rusty Material in an Oxygen Flow Meter</p><p>Chapter 85.     Case 85:  A Surprising Solution to an Airway Emergency</p><p>Chapter 86.     Case 86:  An Airway Leak in the ICU</p><p>Chapter 87.     Case 87:  Pediatric Dental Anesthesia</p>