What Is Debriefing? The concept of debriefing after a challenging event has become commonplace in the health care simulation world, but debriefing as we describe it in this chapter includes a systematic discussion of any immersive event, real or simulated.…
This book attempts to lay out the principles of learning and teaching anesthesia crisis resource management (ACRM) in anesthesia practice. Although the principles can be summarized in a book, and even represented on a single reminder graphic, mastering and honing…
Resource Management Is a Crucial Skill for Anesthesia Professionals The concept of resource management is borrowed directly from the domain of aviation. It should be no surprise that we turned to other complex, dynamic systems such as aviation and nuclear…
This book is about decision making and crisis management in anesthesia. What is a crisis ? It is “a time of great danger or trouble whose outcome decides whether possible bad consequences will follow.” For our purposes, the time of…
Numerous clinical situations remain as problematic issues which continue to vex neuroanesthesiologists and neurointensivists as they work to optimize outcomes for their patients. Nascent research ongoing at this time may provide a window to a future approach to these problems.…
Introduction Harvey Cushing, an American neurosurgeon, recognized that the perioperative environment required detailed data collection. Working with colleagues in the 1890s, he is credited with bringing the intraoperative anesthetic record into popular use. This early pen and paper example of…
The pituitary is often referred to as the “master” hormonal gland because of the innumerable influences it exerts over physiologic homeostasis. It is located in the sella turcica, a bony cavity at the base of the skull in close proximity…
Acknowledgment The authors express their gratitude to previous authors of this chapter: Alex John London, Angelique Reitsma, and Connie Zuckerman. Research advances and heightened clinical capabilities have enabled those who care for patients with neurosurgical disease to make great strides…
Introduction Neurologic disorders requiring surgical intervention during pregnancy are not uncommon, and many anesthesiologists eventually encounter a pregnant woman in need of a neurosurgical procedure. The anesthetic management of such patients can be complicated by the physiologic changes that occur…
Critical care, including postoperative care, of the neurologically ill patient involves application of the general critical care principles of management with an added focus on prevention and treatment of secondary brain injury. Systemic and neurologic monitoring is typically required and…