Jonathan L. Benumof, MDProfessor of AnesthesiologyUCSD Medical Center UCSD School of MedicineUniversity of CaliforniaSan Diego, CAUSAGerard R. Manecke, MDProfessor of Clinical AnesthesiologyUCSD Medical CenterUniversity of CaliforniaSan Diego, CAUSAEditors: Gerard R. Manecke, MD, Clinical Professor and Chair Jonathan L. Benumof, MD, Professor Associate Editors: Kimberly Robbins, MD, Resident Rekha Chandrebose, MD, Resident Karim Rafaat, MD, Resident Thomas Archer, MD, Resident Daniel Lee, MD, PhD, Resident Benjamin Beal, MD, Resident Seth Herway, MD, Chief Resident All of the Department of Anesthesiology, University of California, San Diego School of Medicine, La Jolla, CA USA DR. MANECKE is a cardiothoracic anesthesiologist and since 2008 has served as chair of the Department of Anesthesiology at UCSD. He is credited with helping to elevate the department to be a global leader in basic and clinical research, education and training, and patient care. It now has one of the best funded research programs in the United States as well as one of the most sought after residency training programs. He continues to be active clinically, teach, and conduct research in clinical cardiovascular physiology and is a busy international speaker. DR. BENUMOF is a world-renowned expert on pulmonary physiology, anesthesia for thoracic surgery, airway management, and obstructive sleep apnea. In recognition of his teaching, he has received numerous awards, most recently the 2010 Teaching Recognition Award Recipient for Achievement in Education from the International Anesthesia Research Society. Dr. Benumof has been an Invited speaker at more than 300 national and international meetings. In addition to being an honorary fellow of the Faculty of Anaesthetists of Australia, he was elected lifetime honorary member of the Society for Airway Management.

• SECTION I: CASES RESULTING IN PERIOPERATIVE DEATH .-Death During Monitored Anesthesia Care.-Anesthesia During Liver Transplant: Hepatic Function, TEG, Massive Transfusion, States of Liver Transplantation, MELD Scoring.- Obstructive Sleep Apnea: Falling Through Caregiver Cracks to Death .-Abdominal Compartment Syndrome and Pulmonary Aspiration.-  Massive Pulmonary Hemorrhage During Pulmonary Thromboendarterectomy.- SECTION II: CASES RESULTING IN PERIOPERATIVE NEAR DEATH OR VERYSERIOUS COMPLICATIONS.- A Case of CHARGE Syndrome and Hypoxemia.- A Patient With ALS Requiring Intubation.-Blowtorch Airway Fire.-Anesthetic Implications of Duchenne Muscular Dystrophy and the Surgical Repair of Scoliosis.- Pulmonary Atresia with Intact Ventricular Septum.- Necrotizing Enterocolitis in the Premature Infant.-SECTION III: CASES RESULTING IN PERIOPERATIVE SERIOUS COMPLICATIONS.-Post-operative Respiratory Distress in the PACU: A Unique Differential Diagnosis.-An Undiagnosed Intraoperative Pheochromocytoma.-LMA Morbidity: A Case of Unilateral Recurrent Laryngeal Nerve Plasy.-Management of Local Anesthetic Systemic Toxicity (LAST) .- Pseudocholinesterase Deficiency in a Patient with Subglottic Stenosis.-SECTION IV: CASES REQUIRING DIFFICULT AND/OR UNUSUAL ANESTHETIC MANAGEMENT.- Cesarean Section in a Heart Failure Patient with Previous Lumbosacral Spine Surgery.-Organization Promotes Safety: A Step Forward.-A Case of Peripartum Cardiomyopathy: Anesthetic Management of Patients on Mechanical.Circulatory Support and Status Post Heart Transplantation.- A Minor Hiccup: Singultus, Regurgitation, and Aspiration under Anesthesia.-Myasthenia Gravis.-Massive Hemorrhage after Dilatation and Curettage.-Intraoperative Bradycardia and Asystole.-Anesthesia for the Obese Parturient.-Management of Intracardiac Thrombus During Orthotopic Liver Transplant.-Preventing Perioperative Complications of Epidermolysis Bullosa.-

Jonathan L. Benumof, MDProfessor of AnesthesiologyUCSD Medical Center UCSD School of MedicineUniversity of CaliforniaSan Diego, CAUSAGerard R. Manecke, MDProfessor of Clinical AnesthesiologyUCSD Medical CenterUniversity of CaliforniaSan Diego, CAUSAEditors: Gerard R. Manecke, MD, Clinical Professor and Chair Jonathan L. Benumof, MD, Professor Associate Editors: Kimberly Robbins, MD, Resident Rekha Chandrebose, MD, Resident Karim Rafaat, MD, Resident Thomas Archer, MD, Resident Daniel Lee, MD, PhD, Resident Benjamin Beal, MD, Resident Seth Herway, MD, Chief Resident All of the Department of Anesthesiology, University of California, San Diego School of Medicine, La Jolla, CA USA DR. MANECKE is a cardiothoracic anesthesiologist and since 2008 has served as chair of the Department of Anesthesiology at UCSD. He is credited with helping to elevate the department to be a global leader in basic and clinical research, education and training, and patient care. It now has one of the best funded research programs in the United States as well as one of the most sought after residency training programs. He continues to be active clinically, teach, and conduct research in clinical cardiovascular physiology and is a busy international speaker. DR. BENUMOF is a world-renowned expert on pulmonary physiology, anesthesia for thoracic surgery, airway management, and obstructive sleep apnea. In recognition of his teaching, he has received numerous awards, most recently the 2010 Teaching Recognition Award Recipient for Achievement in Education from the International Anesthesia Research Society. Dr. Benumof has been an Invited speaker at more than 300 national and international meetings. In addition to being an honorary fellow of the Faculty of Anaesthetists of Australia, he was elected lifetime honorary member of the Society for Airway Management.

• SECTION I: CASES RESULTING IN PERIOPERATIVE DEATH .-Death During Monitored Anesthesia Care.-Anesthesia During Liver Transplant: Hepatic Function, TEG, Massive Transfusion, States of Liver Transplantation, MELD Scoring.- Obstructive Sleep Apnea: Falling Through Caregiver Cracks to Death .-Abdominal Compartment Syndrome and Pulmonary Aspiration.-  Massive Pulmonary Hemorrhage During Pulmonary Thromboendarterectomy.- SECTION II: CASES RESULTING IN PERIOPERATIVE NEAR DEATH OR VERYSERIOUS COMPLICATIONS.- A Case of CHARGE Syndrome and Hypoxemia.- A Patient With ALS Requiring Intubation.-Blowtorch Airway Fire.-Anesthetic Implications of Duchenne Muscular Dystrophy and the Surgical Repair of Scoliosis.- Pulmonary Atresia with Intact Ventricular Septum.- Necrotizing Enterocolitis in the Premature Infant.-SECTION III: CASES RESULTING IN PERIOPERATIVE SERIOUS COMPLICATIONS.-Post-operative Respiratory Distress in the PACU: A Unique Differential Diagnosis.-An Undiagnosed Intraoperative Pheochromocytoma.-LMA Morbidity: A Case of Unilateral Recurrent Laryngeal Nerve Plasy.-Management of Local Anesthetic Systemic Toxicity (LAST) .- Pseudocholinesterase Deficiency in a Patient with Subglottic Stenosis.-SECTION IV: CASES REQUIRING DIFFICULT AND/OR UNUSUAL ANESTHETIC MANAGEMENT.- Cesarean Section in a Heart Failure Patient with Previous Lumbosacral Spine Surgery.-Organization Promotes Safety: A Step Forward.-A Case of Peripartum Cardiomyopathy: Anesthetic Management of Patients on Mechanical.Circulatory Support and Status Post Heart Transplantation.- A Minor Hiccup: Singultus, Regurgitation, and Aspiration under Anesthesia.-Myasthenia Gravis.-Massive Hemorrhage after Dilatation and Curettage.-Intraoperative Bradycardia and Asystole.-Anesthesia for the Obese Parturient.-Management of Intracardiac Thrombus During Orthotopic Liver Transplant.-Preventing Perioperative Complications of Epidermolysis Bullosa.-

Jonathan L. Benumof, MDProfessor of AnesthesiologyUCSD Medical Center UCSD School of MedicineUniversity of CaliforniaSan Diego, CAUSAGerard R. Manecke, MDProfessor of Clinical AnesthesiologyUCSD Medical CenterUniversity of CaliforniaSan Diego, CAUSAEditors: Gerard R. Manecke, MD, Clinical Professor and Chair Jonathan L. Benumof, MD, Professor Associate Editors: Kimberly Robbins, MD, Resident Rekha Chandrebose, MD, Resident Karim Rafaat, MD, Resident Thomas Archer, MD, Resident Daniel Lee, MD, PhD, Resident Benjamin Beal, MD, Resident Seth Herway, MD, Chief Resident All of the Department of Anesthesiology, University of California, San Diego School of Medicine, La Jolla, CA USA DR. MANECKE is a cardiothoracic anesthesiologist and since 2008 has served as chair of the Department of Anesthesiology at UCSD. He is credited with helping to elevate the department to be a global leader in basic and clinical research, education and training, and patient care. It now has one of the best funded research programs in the United States as well as one of the most sought after residency training programs. He continues to be active clinically, teach, and conduct research in clinical cardiovascular physiology and is a busy international speaker. DR. BENUMOF is a world-renowned expert on pulmonary physiology, anesthesia for thoracic surgery, airway management, and obstructive sleep apnea. In recognition of his teaching, he has received numerous awards, most recently the 2010 Teaching Recognition Award Recipient for Achievement in Education from the International Anesthesia Research Society. Dr. Benumof has been an Invited speaker at more than 300 national and international meetings. In addition to being an honorary fellow of the Faculty of Anaesthetists of Australia, he was elected lifetime honorary member of the Society for Airway Management.

• SECTION I: CASES RESULTING IN PERIOPERATIVE DEATH .-Death During Monitored Anesthesia Care.-Anesthesia During Liver Transplant: Hepatic Function, TEG, Massive Transfusion, States of Liver Transplantation, MELD Scoring.- Obstructive Sleep Apnea: Falling Through Caregiver Cracks to Death .-Abdominal Compartment Syndrome and Pulmonary Aspiration.-  Massive Pulmonary Hemorrhage During Pulmonary Thromboendarterectomy.- SECTION II: CASES RESULTING IN PERIOPERATIVE NEAR DEATH OR VERYSERIOUS COMPLICATIONS.- A Case of CHARGE Syndrome and Hypoxemia.- A Patient With ALS Requiring Intubation.-Blowtorch Airway Fire.-Anesthetic Implications of Duchenne Muscular Dystrophy and the Surgical Repair of Scoliosis.- Pulmonary Atresia with Intact Ventricular Septum.- Necrotizing Enterocolitis in the Premature Infant.-SECTION III: CASES RESULTING IN PERIOPERATIVE SERIOUS COMPLICATIONS.-Post-operative Respiratory Distress in the PACU: A Unique Differential Diagnosis.-An Undiagnosed Intraoperative Pheochromocytoma.-LMA Morbidity: A Case of Unilateral Recurrent Laryngeal Nerve Plasy.-Management of Local Anesthetic Systemic Toxicity (LAST) .- Pseudocholinesterase Deficiency in a Patient with Subglottic Stenosis.-SECTION IV: CASES REQUIRING DIFFICULT AND/OR UNUSUAL ANESTHETIC MANAGEMENT.- Cesarean Section in a Heart Failure Patient with Previous Lumbosacral Spine Surgery.-Organization Promotes Safety: A Step Forward.-A Case of Peripartum Cardiomyopathy: Anesthetic Management of Patients on Mechanical.Circulatory Support and Status Post Heart Transplantation.- A Minor Hiccup: Singultus, Regurgitation, and Aspiration under Anesthesia.-Myasthenia Gravis.-Massive Hemorrhage after Dilatation and Curettage.-Intraoperative Bradycardia and Asystole.-Anesthesia for the Obese Parturient.-Management of Intracardiac Thrombus During Orthotopic Liver Transplant.-Preventing Perioperative Complications of Epidermolysis Bullosa.-