Anesthesia Complications Anesthesia Complications

Anesthesia Complications

1. Anesthesia Complications Ashley Mathew, MD

2. Case Presentation A 56-year-old obese patient is undergoing a laparotomy for bowel obstruction. Preoperatively he is reasonably fit and his SpO2 is 95%. After rapid sequence induction and intubation, the patient is ventilated and anesthesia maintained using halothane in air with 30% oxygen. Over the next 10 minutes the patient’s SpO2 falls to 85%. What are the most likely causes and what action would you take?

3. https://resources.wfsahq.org/atotw/pulse-oximetry-part-2-anaesthesia-tutorial-of-the-week-124/

4. Case Presentation A 7yo child with no prior medical or surgical history experiences trismus during inhalation induction with sevoflurane in nitrous oxide and oxygen. A new resident, confusing this for laryngospasm, administers succinylcholine through the newly placed IV which does indeed break the trismus. Following successful intubation and initiation of surgery, the child is noted to be tachycardic and hypertensive, and end-tidal carbon dioxide level slowly starts to rise. https://www.youtube.com/watch?v=bdr884iVw94

5. https://www.youtube.com/watch?v=TKPbDbfPcN8

6. Case Presentation You are called to intubate a drunk and belligerent patient in the emergency room. He is the victim of an MVA with significant facial trauma, has a moderate amount of blood in his airway, and an uncleared cervical spine. He weighs 200 pounds and his medical history is unknown. His answer to all of your queries is a loud "shove it quack!"

7. https://www.youtube.com/watch?v=n_oqoLeD2WQ&list=PLMa2v_DV1DCLRN8f6-y_QZopJuRRvNWL5&index=2 https://www.youtube.com/watch?v=XivwJb_sHv0

8. Peripheral Nerve Injuries from Positioning https://www.openanesthesia.org/keywords/peripheral-nerve-injuries-from-positioning/?search_term=peripheral%20nerve