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This book outlines the many anesthesia-related obstacles, concerns, and challenges that may be encountered by western trained anesthesiologist in low-resourced settings.
Each chapter presents a challenging scenario with solutions. It is therefore an essential handbook that will prepare those performing anesthesia in this milieu. All case studies represent real accounts discussing equipment and drug constraints as well as the ethical questions that arise for western doctors working in this environment.
Socially conscious and timely, Anesthesia in Low-Resourced Settings is an invaluable resource for medical practitioners who plan to work in these challenging settings.
Pages i-xxxvi
John G. Brock-Utne
Pages 1-5
Case 2: What Is Wrong with This Picture?
John G. Brock-Utne
Pages 7-8
Case 3: No Train of Four Neuromuscular Monitor. No Problem
John G. Brock-Utne
Pages 9-10
Case 4: An Old Anesthetic Machine and It’s the Only One
John G. Brock-Utne
Pages 11-12
Case 5: Ether Is the Only Anesthetic and You Have Never Given One
John G. Brock-Utne
Pages 13-14
Case 6: Transporting a Critically Ill Patient Without Monitors
John G. Brock-Utne
Pages 15-16
Case 7: Severe Dehydration and No IV Solution
John G. Brock-Utne
Pages 17-18
Case 8: Thinking Outside the Box
John G. Brock-Utne
Pages 19-21
Case 9: This Is a Serious Problem
John G. Brock-Utne
Pages 23-25
Case 10: Always Check Your Facts
John G. Brock-Utne
Pages 27-29
Case 11: An Impossible Situation?
John G. Brock-Utne
Pages 31-33
Case 12: No Blood Bank. Now What?
John G. Brock-Utne
Pages 35-36
Case 13: What Can the Problem Be?
John G. Brock-Utne
Pages 37-38
Case 14: Living on the Equator
John G. Brock-Utne
Pages 39-41
John G. Brock-Utne
Pages 43-45
Case 16: A Draw-Over Vaporizer with a Non-rebreathing Circuit. Be Aware
John G. Brock-Utne
Pages 47-50
John G. Brock-Utne
Pages 51-52
Case 18: A Tracheostomy Is Urgently Needed and You Have Never Done One
John G. Brock-Utne
Pages 53-55
Case 19: A Prolapsed Umbilical Cord
John G. Brock-Utne
Pages 57-58
John G. Brock-Utne
Pages 59-60
Case 21: Postoperatively You Can’t Communicate with the Patient
John G. Brock-Utne
Pages 61-63
Case 22: Traumatic Hemothorax and Same Side Central Venous Access
John G. Brock-Utne
Pages 65-68
Case 23: A Patient with a Difficult Airway and You Have Minimal Airway Equipment
John G. Brock-Utne
Pages 69-70
Case 24: MRI Suite. What Can the Problem Be?
John G. Brock-Utne
Pages 71-73
Case 25: How Should You Fill CO2 Absorbent in a Canister?
John G. Brock-Utne
Pages 75-77
Case 26: An Old Anesthetic Machine. Look Carefully
John G. Brock-Utne
Pages 79-81
Case 27: A Single Abdominal Knife Wound. Easy Case?
John G. Brock-Utne
Pages 83-85
Case 28: An Endobronchial Foreign Body
John G. Brock-Utne
Pages 87-88
John G. Brock-Utne
Pages 89-91
Case 30: A Tip for Nasal Intubation
John G. Brock-Utne
Pages 93-95
Case 31: A Seriously Ill Patient
John G. Brock-Utne
Pages 97-99
Case 32: Malignant Hyperpyrexia
John G. Brock-Utne
Pages 101-104
Case 33: An Adjuvant to the Cuff-Leak Test
John G. Brock-Utne
Pages 105-107
Case 34: A Bronchoscopy Surprise
John G. Brock-Utne
Pages 109-110
Case 35: Doing Research in Low-Resource Environments. What to Watch Out for
John G. Brock-Utne
Pages 111-113
Case 36: An Epidural Pump in Labor in a Low-Resource Environment. Watch Out
John G. Brock-Utne
Pages 115-116
Case 37: This Could Be Serious
John G. Brock-Utne
Pages 117-119
Case 38: A Case of Intraoperative Hyperthermia
John G. Brock-Utne
Pages 121-123
Case 39: A Case of Myasthenia Gravis
John G. Brock-Utne
Pages 125-127
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John G. Brock-Utne
Pages 129-131
John G. Brock-Utne
Pages 133-135
Case 42: A Potentially Life-Threatening Problem
John G. Brock-Utne
Pages 137-138
Case 43: A Straightforward Case or What?
John G. Brock-Utne
Pages 139-141
Case 44: A Signed Consent. Any Problem
John G. Brock-Utne
Pages 143-145
Case 45: A Cesarean Section with Twins
John G. Brock-Utne
Pages 147-148
Case 46: A Child Bitten by a Rabid Dog
John G. Brock-Utne
Pages 149-151
Case 47: What an Airway Surprise
John G. Brock-Utne
Pages 153-156
Case 48: A Case of a Ruptured Ectopic
John G. Brock-Utne
Pages 157-161
Case 49: A Glass Blood Bottle. Any Concern?
John G. Brock-Utne
Pages 163-166
John G. Brock-Utne
Pages 167-168
John G. Brock-Utne
Pages 169-171
Case 52: Intraoperative “Oozing”
John G. Brock-Utne
Pages 173-176
Case 53: Defibrillator. Watch Out
John G. Brock-Utne
Pages 177-178
John G. Brock-Utne
Pages 179-181
John G. Brock-Utne
Pages 183-186
Case 56: An Anesthetic Equipment Graveyard
John G. Brock-Utne
Pages 187-189
Case 57: A Motor Vehicle Accident
John G. Brock-Utne
Pages 191-193
Case 58: My Wife Is Dead, Doctor
John G. Brock-Utne
Pages 195-198
Case 59: Disposal of Soda Lime
John G. Brock-Utne
Pages 199-201
Case 60: Compressed Gas Containers
John G. Brock-Utne
Pages 203-206
John G. Brock-Utne
Pages 207-210
Case 62: An Emergency Cesarean Section in Togo
John G. Brock-Utne
Pages 211-213
Case 63: An Overdose with Witch Doctor Medicine
John G. Brock-Utne
Pages 215-217
Case 64: A Request from a Family Member
John G. Brock-Utne
Pages 219-221
Case 65: A New Electronic Anesthetic Machine
John G. Brock-Utne
Pages 223-224
Case 66: Hiccups After Induction of Anesthesia
John G. Brock-Utne
Pages 225-226
Case 67: What Is Going On? Was Geht Ab?
John G. Brock-Utne
Pages 227-229
Case 68: A Trans-Indian Ocean Flight
John G. Brock-Utne
Pages 231-232
Case 69: Reinforced (Armored) Endotracheal Tube. Watch Out
John G. Brock-Utne
Pages 233-235
John G. Brock-Utne
Pages 237-238
Case 71: Bain Circuit (Mapleson D). What Is the Problem?
John G. Brock-Utne
Pages 239-240
Case 72: Suxamethonium. Never Forget
John G. Brock-Utne
Pages 241-242
John G. Brock-Utne
Pages 243-244
Case 74: How Much Oxygen Is Left in an E-cylinder?
John G. Brock-Utne
Pages 245-247
Case 75: A Case of Lost in Translation
John G. Brock-Utne
Pages 249-251
Case 76: A Sudden Intraoperative Change in EKG Amplitude. Any Concern?
John G. Brock-Utne
Pages 253-255
Case 77: Technical Staff must be Well Trained
John G. Brock-Utne
Pages 257-261
Case 78: What Can Go Wrong with This Anesthetic?
John G. Brock-Utne
Pages 263-265
John G. Brock-Utne
Pages 267-269
John G. Brock-Utne
Pages 271-273
Case 81: A New Breathing System
John G. Brock-Utne
Pages 275-278
Case 82: A Small Child in a War Zone
John G. Brock-Utne
Pages 279-281
John G. Brock-Utne
Pages 283-284
John G. Brock-Utne
Pages 285-287
Case 85: Always Check Your Facts
John G. Brock-Utne
Pages 289-291
John G. Brock-Utne
Pages 293-295
Case 87: Hospital Administrator. You Have Been Warned
John G. Brock-Utne
Pages 297-298
John G. Brock-Utne
Pages 299-300
Case 89: Intermittent Electrical Power Failure to an Anesthesia Machine
John G. Brock-Utne
Pages 301-304
John G. Brock-Utne
Pages 305-306
Pages 307-334
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