New Edition
Crisis Management in Anesthesiology,
Edition 2
By David M. Gaba, MD, Kevin J. Fish, MSc, MB, ChB, FRCA, FRCPC, Steven K. Howard, MD and Amanda Burden, MD

Publication Date: 26 Aug 2014

The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians and residents, this medical reference book will effectively prepare you to handle any critical incident during anesthesia.


"A comprehensive discussion of the latest theories, principles and practices for CRM in perioperative practice and will be a useful resource for anaesthetists of all grades and levels of experience" Reviewed by British Journal of Anaesthesia, Jun 2015

 "...this book contains essential information that all anesthesiologists should know or readily be able to easily reference..." Reviewed by Jane Torrie, Oct 2015

"Every anesthesia provider needs to study, not just read, this new edition, even if you read the first edition. Also, distilled instructions of key elements of the cases covered in this book need to be included in manuals made available for emergencies (although that, too, needs further study on how best to use them). If I were your patient, I would ask if you had studied these principles. If you hadn’t, I might ask for another health care provider into whose hands I would want to entrust my life." Foreword by:  Jeffrey B. Cooper, PhD Harvard Medical School, Boston, Massachusetts, July 2015 

New Features

  • Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis.
  • React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents. 
    • Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events.
    • Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing.
    • Expert Consult eBook version included with purchase.
    About the author
    By David M. Gaba, MD, Associate Dean for Immersive & Simulation-based Learning and Professor of Anesthesia, Stanford University; Staff Anesthesiologist and Director, Patient Simulation Center of Innovation, VA Palo Alto Health Care System, Palo Alto, California; Kevin J. Fish, MSc, MB, ChB, FRCA, FRCPC, Professor Emeritus, Anesthesiology, Pain and Perioperative Medicine, Stanford University, Stanford, CA; Per diem Staff Anesthesiologist, Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; Steven K. Howard, MD, Associate Professor of Anesthesia, Stanford University School of Medicine; Staff Anesthesiologist Anesthesiology and Perioperative Care Service, VA Palo Alto HCS, Palo Alto, California and Amanda Burden, MD, Associate Professor of Anesthesiology, Director Simulation Program, Cooper Medical School of Rowan University, Cooper University Hospital, Camden, New Jersey
    Table of Contents

    1. Fundamentals of Dynamic Decision Making in Anesthesia

    2. Specific Principles of Anesthesia Crisis Resource Management

    3. Teaching Anesthesia Crisis Resource Management

    4. Debriefing

    5. Generic Events

    Acute Hemorrhage

    Cardiac Arrest

    Difficult Tracheal Intubation

    Emergent (Crash) Induction of Anesthesia

    Esophageal Intubation

    High Inspired CO2

    High Peak Inspiratory Pressure




    Operating Room Fire

    ST Segment Change

    The Septic Patient

    The Trauma Patient

    6. Cardiovascular Events

    Acute Coronary Syndrome

    Anaphylactic and Anaphylactoid Reactions

    Autonomic Dysreflexia

    Cardiac Tamponade

    Nonlethal Ventricular Arrhythmias

    Pulmonary Edema

    Pulmonary Embolism

    Sinus Bradycardia

    Supraventricular Arrhythmias

    Venous Gas Embolism

    7. Pulmonary Events

    Airway Burn

    Airway Rupture

    Anterior Mediastinal Mass

    Aspiration of Gastric Contents


    Endobronchial Intubation

    Epiglottitis (Supraglottitis)


    Hypoxemia During One-Lung Ventilation

    Massive Hemoptysis


    Postoperative Stridor

    Unplanned Extubation

    8. Metabolic Events

    Addisonian Crisis (Acute Adrenal Insufficiency)

    Diabetic Ketoacidosis




    Hyponatremia and Hypo-osmolality


    Malignant Hyperthermia

    Metabolic Acidosis



    Thyroid Storm

    Transfusion Reaction

    9. Neurologic Events

    Central Nervous System Injury

    Local Anesthetic Systemic Toxicity

    Perioperative Visual Loss

    Peripheral Nerve Injury

    Postoperative Alteration in Mental Status

    Postoperative Failure to Breathe


    10. Equipment Events

    Carbon Monoxide in the Anesthesia Circuit

    Circle System Expiratory Valve Stuck Closed

    Circle System Inspiratory Valve Stuck Closed

    Circle System Valve Stuck Open

    Common Gas Outlet Failure

    Drug Administration Error

    Electrical Power Failure

    Faulty Oxygen Supply

    Gas Flow Control Malfunction

    Intravenous Line Failure

    Loss of Pipeline Oxygen

    Major Leak in the Anesthesia Breathing Circuit

    Pop-Off Valve Failure

    Ventilator Failure

    Volatile Anesthetic Overdose

    Waste Anesthesia Gas Disposal System Malfunction

    11. Cardiac Anesthesia Events

    Cardiac Laceration

    Coagulopathy Following Cardiopulmonary Bypass

    Emergent "Crash" onto Cardiopulmonary Bypass

    Hypotension During Cardiopulmonary Bypass

    Low Cardiac Output State Post-Cardiopulmonary Bypass

    Massive Systemic Air Embolism

    Protamine Reaction

    12. Obstetric Events

    Amniotic Fluid Embolism (also termed Anaphylactoid Syndrome of Pregnancy)

    Cardiac Arrest in the Parturient

    Difficult Airway in the Parturient

    Emergency Cesarean Section

    Hypotension Following Neuraxial Anesthesia

    Magnesium Toxicity

    Obstetric Hemorrhage

    Pre-eclampsia and Eclampsia

    Total Spinal Anesthesia

    13. Pediatric Events

    Acute Hemorrhage in the Pediatric Patient

    Anaphylaxis in the Pediatric Patient

    Aspiration of a Foreign Body

    Bradycardia in the Pediatric Patient

    Cardiac Arrest in the Pediatric Patient

    Difficult Airway Management in the Pediatric Patient

    Hypotension in the Pediatric Patient


    Masseter Muscle Rigidity

    Sinus Tachycardia in the Pediatric Patient

    Book Reviews

    “Who should buy this book? The authors state in the Preface that they wrote it for everyone who administers anesthesia, from trainees to experienced practitioners. I have to say that I enthusiastically agree!¿

    "The distinguished authors of this latest edition build on these foundations, which now include new chapters on teaching CRM and the vitally important skill of debriefing colleagues after they have experienced such challenging events. The catalogue of critical incidents has been completely overhauled and updated, to reflect contemporary practice with nearly 20 new scenarios added". Reviewed by British Journal of Anaesthesia, Jun 2015


    "Those preparing for examinations, including maintenance of certification, or those preparing others for these exams will find this book to be an excellent resource." Reviewed by Jane Torrie, Oct 2015


    “This is a tremendous book with the single focus of improving patient safety in the fluid situation of anesthesia administration. Every residency program has a curriculum to deal with predictable situations, but not necessarily with unpredictable situations. Other books on similar topics stress medical knowledge to improve the safety of patients, but this is the only one that highlights the importance of the development of cognitive and behavioral skills that are important for averting disaster in crisis situations. This is a must read for safe and better care of patients under anesthesia.¿

    -Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine) Doody's Score: 100 – 5 Stars!


    "Who should buy this book? The authors state in the Preface that they wrote it for everyone who administers anesthesia, from trainees to experienced practitioners. I have to say that I enthusiastically agree!"

    -Manuel Pardo, Jr., M.D., University of California (Anesthesiology 2016; 124:738-40)

    Book details
    ISBN: 9780443065378
    Page Count: 432
    Illustrations : 6 illustrations
    Retail Price : £63.99
    , 1932-2275, Fleisher: Anesthesiology Clinics, Volume 26, 2008