Table of Contents
1 Case 1: No Fibro-Optic Intubation System – A Potential Problem
2 Case 2: Is the Patient Extubated?
3 Case 3: A Strange Computerized ECG Interpretation
4 Case 4: An Elderly Lady with a Fractured Neck of Femur
5 Case 5: A Spinal Anesthetic That Wears Off Before Surgery Ends. What to Do?
6 Case 6: Just a Simple Monitored Anesthesia Care (MAC) Case
7 Case 7: Smell of Burning in the Operating Room
8 Case 8: A Diabetic Patient for Inguinal Hernia Repair
9 Case 9: The Case of the “Hidden” IV
10 Case 10: Postoperative Painful Eye
11 Case 11: Awake Craniotomy
12 Case 12: Gum Elastic Bougie
13 Case 13: You Smell Anesthesia Vapor. Where Is It Coming From?
14 Case 14: Manual Ventilation of a Patient Turned 180 Degrees Away From the Anesthesia Machine by a Single Operator. Is It Possible?
15 Case 15: Life Threatening Arrhythmia in a 5 Month Old
16 Case 16: Tongue Ring
17 Case 17: Hasty C-Arm Positioning. A Recipe for Disaster.
18 Case 18: Inability to Remove a Nasogastric Tube
19 Case 19: An Unusual Cause of Difficult Tracheal Intubation
20 Case 20: Pulmonary Edema Following Abdominal Laparoscopy
21 Case 21: A Possible Solution to a Difficult Laryngeal Mask Airway Placement
22 Case 22: Postoperative Airway Complication Following Sinus Surgery
23 Case 23: An Unusual Capnograph Tracing
24 Case 24: A Respiratory Dilemma during a Transjugular Intrahepatic Porto-Systemic Shunt Procedure (TIPSS)
25 Case 25: A Tracheotomy is Urgently Needed and You Have Never Done One
26 Case 26: General Anesthesia for a Patient with a Difficult Airway and Full Stomach
27 Case 27: A Jehovah’s Witness Patient and a Potentially Bloody Operation
28 Case 28: Laparoscopic Achalasia Surgery
29 Case 29: Sudden Intraoperative Hypotension
30 Case 30: Blood Pressure Difference between a Non-Invasive and an Invasive Blood Pressure Measurement
31 Case 31: Severe Decrease in Lung Compliance during a Code Blue
32 Case 32: Shortening Post-Anesthesia Recovery Time after an Epidural. Is It Possible?
33 Case 33: At Times You Need To Be a MacGyver
34 Case 34: Delayed Cutaneous Fluid Leak from a Puncture Hole after Removal of an Epidural Catheter
35 Case 35: Traumatic Hemothorax and Same Side Central Venous Access
36 Case 36: A Single Abdominal Knife Wound. Easy Case?
37 Case 37: A Draw-Over Vaporizer with a Non-Rebreathing Circuit
38 Case 38: Unexpected Intraoperative “Oozing”
39 Case 39: Central Venous Access and the Obese Patient
40 Case 40: Check Your Facts
41 Case 41: Intraoperative Epidural Catheter Malfunction
42 Case 42: Breathing Difficulties after an ECT
43 Case 43: White “Clumps” in the Blood Sample from an Arterial Line
44 Case 44: Anesthesia for a Surgeon Who Has Previously Lost His Privileges
45 Case 45: Airway Obstruction in an Anesthetized Prone Patient
46 Case 46: A Question You Should Always Ask
47 Case 47: Postoperative Vocal Cord Paralysis
48 Case 48: This Is a Serious Problem
49 Case 49: A Leaking Endotracheal Tube in a Prone Patient
50 Case 50: An Impossible Situation?
51 Case 51: An “Old Trick” But a Potential Serious Problem
52 Case 52: A Loud “Pop” Intra-Operatively and Now You Can’t Ventilate
53 Case 53: Postoperative Median Nerve Injury
54 Case 54: A Patient in a Halo
55 Case 55: It Is Now or Never
56 Case 56: General Anesthesia in a Patient with Daily Use of Prescribed Amphetamine
57 Case 57: What Is Wrong With This Picture?
58 Case 58: The One-Eyed Patient
59 Case 59: A Near Tragedy
60 Case 60: Robot Assisted Surgery. A Word of Caution.
61 Case 61: An Airway Emergency in an Out of Hospital Surgical Office
62 Case 62: A Case of Recent Hip Replacement Coming For a Cystoscopy
63 Case 63: A High Glucose Concentration in an Epidural Catheter Aspirate. Should One Be Concerned?
64 Case 64: A General Anesthesia in a Patient Who Has Had a Recent Eye Operation
65 Case 65: Another Awake Craniotomy
66 Case 66: Spinal Fracture and Flail-Segment Rib Fractures Following a Motor Vehicle Accident
67 Case 67: Angioedema in the Emergency Department
68 Case 68: Cranioplasty. Should You Be Concerned?
69 Case 69: More Haste Less Speed
70 Case 70: A Pregnant Patient for a Carpal Tunnel Operation
71 Case 71: A Request to Provide Isoflurane Anesthesia for Treatment of Status Epilepticus
72 Case 72: No Methylene Blue in the Urine. What Would You Do?
73 Case 73: A Right Upper-Lobe Tumor and Concurrent Tracheal Polyp. What Lung Isolation Technique Would You Use?
74 Case 74: Complete Heart Block during Central Line Placement
75 Case 75: Cervical Hematoma Following Neck Surgery
76 Case 76: Transient Language Disturbance Following General Anesthesia
77 Case 77: A Flexible Suction Catheter Complication
78 Case 78: A Neurosurgical Case with a Sudden Disappearance of the Arterial Line Waveform
79 Case 79: Not Another Corneal Abrasion
80 Case 80: A Maxillofacial Operation
81 Case 81: A Patient with a Transplanted Heart for Cholecystectomy
82 Case 82: A High Total Spinal in an Obstetric Patient
83 Case 83: Peroral Endoscopic Myotomy (POEM)
84 Case 84: A Neonatal Emergency
85 Case 85: This Could Be Serious
86 Case 86: A Case of Acoustic Neuroma
87 Case 87: Is the IV Infiltrated?
88 Case 88: Communication is Essential
89 Case 89: Watch Out
90 Case 90: A Simple Case but it Goes On and On
91 Case 91: Endotracheal Intubation in the ICU. Watch Out.
92 Case 92: A Straight Forward Case, or Is It?
93 Case 93: Postoperative Red Urine
94 Case 94: Patient’s Toes Suddenly Become White during a Lower Limb Operation
95 Case 95: A Percutaneous Tracheostomy
96 Case 96: A Patient in the Prone Position. Watch Out.
97 Case 97: A Patient with Obstructive Sleep Apnea
98 Case 98: A Case of Wegener Granulomatosis
99 Case 99: What Can Possibly Go Wrong?
100 Case 100: Severe Case of Hyperkalemia during Rapid Blood Transfusion
101 Case 101: A Monitor is Just a Machine
102 Case 102: A Case of Preoperative Sinus Tachycardia
103 Case 103: Bonus Question
