Anaesthetic and Perioperative Complications

by Valchanov, Kamen; Webb, Stephen T.; Sturgess, Jane; Merry, Alan

• ISBN13: 9781107002593
• ISBN10: 1107002591
• Edition: 1st
• Format: Paperback
• Copyright: 2011-11-21
• Publisher: Cambridge Univ Pr

Summary

Anaesthetic and Perioperative Complications dissects the nature of complications and helps anaesthetists and anaesthetic practitioners understand, avoid and manage them efficiently. Leading experts combine the detailed clinical management of common and important anaesthetic and perioperative complications with discussion of the key philosophical, ethical and medico-legal issues that arise with assessing a medical complication. Initial chapters discuss how and why complications occur, the prevention of complications and risk management. The main body of the text reviews the clinical management of airway, respiratory, cardiovascular, neurological, psychological, endocrine, hepatic, renal and transfusion-related complications, as well as injury during anaesthesia, complications related to regional and obstetric anaesthesia, drug reactions, equipment malfunction and post-operative management of complications. Each chapter contains sample cases of complications and medical errors, giving clinical scenario, outcomes and recommendations for improved management. This is an important practical and clinical text for all anaesthetists and anaesthetic practitioners, both trained and trainees.

Author Biography

Kamen Valchanov is a Consultant in Anaesthesia and Intensive Care at Papworth Hospital NHS Trust, Cambridge, UK. Stephen T. Webb is a Consultant in Anaesthesia and Intensive care at Papworth Hospital NHS Trust, Cambridge, UK. Jane Strugess is a Consultant in Anaesthesia at Adeenbrooke's Hospital, Cambridge University, Hospital's NHS Foundation, Trust Cambridge, UK. Cambridge, UK.

Table of Contents

Fereword	p. vii
List of contributors	p. ix
List of abbreviations	p. xi
Generic aspects of complications
Preventing complications	p. 1
Managing complications	p. 10
Risk management	p. 18
Cinical aspects of complications
Airway complications during anaesthesia	p. 23
Respiratory complications	p. 43
Cardiovascular complications	p. 54
Complications of blood products and fluid infusions	p. 70
Complications during obstetric anaesthesia	p. 81
Perioperative neurological complications	p. 93
Hepatic, renal and endocrine complications	p. 107
Injury during anaesthesia	p. 119
Regional anaesthesia complications	p. 130
Body temperature complications	p. 153
Equipment malfunction	p. 165
Drug reactions	p. 175
Management of postoperative complications	p. 187
Ethical and medico-legal complications
Before complications occur: Assessing, balancing and explaining risk; Consent	p. 201
After complications occur: Explaining complications and outcome; Allocating blame; Implications for the hospital and the anaesthetist	p. 210
Risk factors for litigation	p. 221
Management of complaints and litigation in the UK	p. 232
The role of the expert witness	p. 241
Index	p. 248
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