Simulation scenario_anaphyalxis_anes.pptx

simulation in healthcare

1. Simulation scenario Dr Kapil/ Dr Nitasha

2. Case Shambhoo , a 36 yr old gentleman , ASA1, No significant past medical or surgical history No H/O allergy /addiction Recently diagnosed as a case of gastric outlet obstruction. Planned for exploratory laparoscopy. Invest: Hb: 10.9, TLC: 11,000, INR : 1.1, PLT: 165, Electrolytes: n, RFT: N, LFT : N, CXR: N, ECG: N

3. Anesthesia management Planned for modified RSI Induction : Propofol + suxa ETT 8.0 mm inserted , b/l ae equal, ETCO2 normal, square pattern

4. Continue .. 2 Large bore iv access secured Analgesia plan taken care : Patient suddenly developed hypotension, tachycardia, with increasing airway pressure followed by desaturation How to proceed next ?