Crisis Management in Anesthesiology

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Pediatric Events

Acute Hemorrhage in the Pediatric Patient Definition Acute hemorrhage in the pediatric patient is the acute loss of a large volume of blood and can be either overt or covert. Overt Can be visualized in the surgical field, on sponges,…

Obstetric Events

Amniotic Fluid Embolism (Anaphylactoid Syndrome of Pregnancy) Definition Amniotic fluid embolism (AFE) is thought to be an abnormal maternal immune response to fetal antigens when the maternal-fetal immunological barrier is breached during labor, pregnancy termination, or shortly after delivery. It…

Cardiac Anesthesia Events

Cardiac Laceration Definition A cardiac laceration is an inadvertent incision into the right atrium, right ventricle, great vessels, or vein graft(s) during sternotomy or resulting from other traumatic injury Etiology Adhesion of scar tissue and/or myocardial tissue to the sternum…

Equipment Events

Carbon Monoxide in the Anesthesia Circuit Definition Carbon monoxide present in the anesthesia breathing circuit Etiology Carbon monoxide is produced by degradation of volatile anesthetic agents in the presence of desiccated CO 2 absorbents The amount of carbon monoxide produced…

Neurologic Events

Central Nervous System Injury Definition A central nervous system (CNS) injury is any new neurologic deficit presenting after anesthesia that can be localized anatomically to the brain or spinal cord. Etiology Cerebral ischemia Global Focal Cerebral hemorrhage Cerebral embolism Increased…

Metabolic Events

Addisonian Crisis (Acute Adrenal Insufficiency) Definition Addisonian crisis, or acute adrenal insufficiency, is a relative or absolute deficiency of adrenal corticosteroid hormones resulting in hemodynamic or other compromise. Etiology Primary adrenal insufficiency (Addison disease) Secondary adrenal insufficiency (pituitary disease) Failure…

Pulmonary Events

Airway Burn Definition Airway burn is thermal or chemical injury to the mucosa of the airway between the mouth and the alveoli. Etiology Inhalation of hot gases From breathing circuit Direct exposure to fire Exposure to smoke or toxic gases…

Cardiovascular Events

Acute Coronary Syndrome Definition Acute coronary syndrome (ACS) is an acute imbalance between myocardial O 2 supply and demand that leads to ischemia and infarction. ACS is classified as being unstable angina, non–ST segment elevation myocardial infarction (NSTEMI), or STEMI.…

Generic Events

Acute Hemorrhage Definition Acute hemorrhage is the acute loss of a large volume of blood and can be either overt or covert. Overt Can be visualized in the surgical field, on sponges, or in the suction containers Covert No outward…