Anesthesiology: A Problem-Based Learning Approach

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide.

This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them.

The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case' and 'Key Questions and Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

Table of Contents

Preface
List of Contributors
Airway
Chapter 01: Management of the difficult airway in the MRI suite
Chapter 02: Hip Dislocation in a Patient with Scleroderma
Cardiac for the Generalist
Chapter 03: Atrial Fibrillation
Chapter 04: The LVAD Patient Presenting for Non-Cardiac Surgery
Chapter 05: Preoperative Chest Pain in a Patient with Colon Obstruction
Chapter 06: Perioperative anesthetic management of anterior mediastinal mass
Chapter 07: Gastric Ulcer Bleed - H/o Coronary artery disease, Hypertension, Hyperlipidemia
Chapter 8: Percutaneous Coronary Intervention (PCI) with Concomitant Atrial Fibrillation
Vascular
Chapter 9: Ruptured Abdominal Aortic Aneurysm- Open Abdominal Aortic Aneurysm Revisited
Chapter 10: LOWER EXTREMITY CLAUDICATION
Chapter 11: TEVAR - Thoracic Endovascular Surgery - Cerebral Spinal Fluid drainage catheters
Abdominal
Chapter 12: Active Pheochromacytoma
GI
Chapter 13: Pulmonary Co-morbidities in ERCP Procedure and Ambulatory Anesthesia
Plastics
Chapter 14: Anesthesia for Mastectomy with Autologous Flap
Orthopedics
Chapter 15: Anesthetic management for patients with severe cervical myelopathy
Chapter 16: A Patient with morbid obesity and OSA coming for shoulder arthroscopy
Genitourinary
Chapter 17: Robotic Prostatectomy
Chapter 18: End stage renal disease- Patient for kidney transplant
Blood Products
Chapter 19: Massive Transfusion
Chapter 20: Update on blood management in Liver transplant
Chapter 21: Acute Intraoperative Blood Loss in a Jehovah's Witness-Medical, Ethical and Legal Issues
Allergy
Chapter 22: Anaphylaxis in the OR - Causes, Recognition and Treatment
Transplant
Chapter 23: Anesthetic considerations in a Liver transplant recipient presenting for non-transplant surgery
Chapter 24: Patient with Liver Failure for Transjugular Intrahepatic Portosysytemic Shunt
PACU
Chapter 25: Waking Up My Outpatient, Who Looks to Now Be Seizing. What to do next in PACU?
Chapter 26: Obstructive Sleep Apnea: Peri-Anesthetic Concerns and Management
Chapter 27: Rheumatoid Arthritis Patient Coming For a Total Knee Replacement
Obstetrics
Chapter 28: Anesthesia in a Pregnant Patient coming for urgent non-obstetric surgery
Chapter 29: Preeclampsia Problem Based Learning Discussion
Chapter 30: Pregnancy Management in a Parturient with Tetralogy of Fallot
Renal
Chapter 31: Intraoperative Hyperkalemia
Endocrine
Chapter 32: Diabetic Ketoacidosis (DKA) Management
Chapter 33: Myasthenia gravis patient coming for ureteroscopy
Chapter 34: Patient with a Large Goiter for Thyroid Surgery
Hematology
Chapter 35: Sickle Cell Disease and Cholecystectomy
Chapter 36: Anesthesia in a patient on anticoagulant - dabigatran coming for emergency surgery
ENT
Chapter 37: Tracheal Stenosis
Chapter 38: Methemoglobinemia
Chapter 39: Anesthesia for Functional Endoscopic Sinus Surgery
Chapter 40: Anesthetic management of a patient with Multiple Laryngeal Papillomatosis
Chapter 41: Anesthetic management of the patient with retropharyngeal abscess with emphasis on the perioperative and airway management
Ambulatory
Chapter 42: Anesthesia for Carpal Tunnel Surgery
Bariatric anesthesia
Chapter 43: Peri-operative Care of the Bariatric Surgery Patient
Miscellaneous
Chapter 44: Anesthetic considerations in patients with automatic implantable cardio defibrillator presenting for non-cardiac surgery.
Chapter 45: Anesthetic Considerations in Autonomic Hypereflexia
Chapter 46: NPO Guidelines
Chapter 47: Severe COPD patient coming for retinal detachment surgery
Practice Management Issues
Chapter 48: Utilization of Practice Improvement Methodologies to Enhance the OR efficiency
Chapter 49: Operating Room Fire
Chapter 50: Intraoperative Awareness
Chapter 51: Post-Operative Cognitive Dysfunction (POCD)
Index