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Anesthesia Emergencies

de Boer, Hans D. MD, PhD

doi: 10.1213/ANE.0000000000001456
Books, Multimedia, and Meeting Reviews

Department of Anesthesiology and Pain Medicine, Martini General Hospital Groningen, A Part of the Santeon Health Group, Groningen, The Netherlands,

Anesthesia Emergencies, edited by Keith J. Ruskin and Stanley H. Rosenbaum, is the second and updated edition covering a broad range of anesthesia emergency topics. Anesthesia Emergencies describes the most frequent critical events that every anesthesiologist and anesthesia resident may encounter in daily practice. Once the signs and symptoms of a critical event are recognized, managed, and followed by an adequate response regarding treatment of the emergency situation, the perioperative patient outcome will be improved. Therefore, this new edition will be of value to be read by perioperative physician professionals in anesthesia and emergency medicine and will give direction to the overall management of critical events.

The book is well organized, and each chapter, 17 in total, is arranged alphabetically while each section within the chapter is arranged alphabetically by the type of emergency problem. Essential information is highlighted in each section, and each chapter contains one or more very useful textbook and recent review references for further reading and additional information. In this updated edition, 2 new important topics are included on crisis resource management and disaster management. Furthermore, additional and new emergency situations have been added to almost every chapter.

In the first chapter, the authors describe crisis resource management before the emergency, which is, in my opinion, one of the most important new topics in this book. The essence of crisis resource management is not exclusively the area of medical knowledge, but the management of complex environmental interactions, including the understanding of leadership and interaction with the team members, adequate and rapid communication, situational awareness, and the knowledge of both triage of issues and the availability of supportive resources. Adequate and clear communication is essential in anesthesia emergencies, and continuous assessment of the crisis situation is needed. The best way to introduce crisis resource management in daily practice is to experience both initial and recurrent training in a multidisciplinary team approach. Interestingly, the authors describe the triple treat model, which is very useful to train and to understand each other’s perspectives in crisis situations to improve the effectiveness of team efforts.

The second new chapter describes disaster management and consists of predisaster planning and response to a disaster. Real disasters with many casualties, which have the potential to overwhelm hospitals and hospital systems, are rare. However, the authors manage to give a concise overview of some recent disasters and what can be learned from these regarding disaster preparedness, relief, recovery, and how to respond to a disaster. This chapter is interesting to read and so are the references the authors include, but the possibility of encountering the disasters described may be very low.

More common emergencies are described in the other chapters. Such emergencies include emergencies in airway management, respiratory emergencies, and cardiovascular emergencies. The authors describe many common and practical issues that an anesthesiologist may encounter in daily practice and give useful information. The chapters dealing with obstetric and pediatric emergencies are well described and approached very practically. The management of maternal hemorrhage and neonatal resuscitation are described especially well. In the chapter on surgical emergencies, several surgical-related issues are highlighted, including the management of massive hemorrhage, ruptured abdominal aortic aneurysm, and laparotomy in the critically ill patient. These sections are quite illustrative and of special value when the clinician wants to anticipate these emergency cases.

The chapters describing equipment problems and procedures are also very useful to read because many of the issues described can be logically solved, but inadequate management due to a lack of knowledge on this subject can easily result in a cascade of increasingly severe and preventable problems had the anesthesia professional had awareness of related problems and procedures. This book gives good information on preventing such related problems.

In the updated edition of Anesthesia Emergencies, the authors have managed to create a concise and clearly written book that is easily accessible in emergency situations because of its logical organization. The content of this book may help to increase the awareness of anesthesia emergencies beforehand, and once an emergency happens, this book may give direction to help solve the problem.

Hans D. de Boer, MD, PhDDepartment of Anesthesiology and Pain MedicineMartini General Hospital GroningenA Part of the Santeon Health GroupGroningen, The

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