Anaesthetic emergencies

Author(s):  
Andrew McIndoe

This chapter discusses anaesthetic emergencies. It begins with a description of adult basic life support and advanced life support. It goes on to describe the management of acute problems, including narrow and broad complex tachycardia, severe hypo- or hypertension, severe hypoxia, laryngospasm, air/gas embolism, gastric aspiration, status asthmaticus, pulmonary oedema, failed intubation, the cannot-intubate-cannot-ventilate scenario, malignant hyperthermia anaphylaxis, intra-arterial injection, and unsuccessful reversal of neuromuscular blockade. It concludes with the management of paediatric emergencies, including paediatric advanced life support, ventricular fibrillation or tachycardia, neonatal resuscitation, the collapsed septic child, paediatric major trauma, acute severe asthma, and anaphylaxis, as well as with a discussion of paediatric drug doses and equipment.

Author(s):  
Andrew McIndoe

This chapter discusses anaesthetic emergencies. It begins with a description of adult basic life support and advanced life support. It goes on to describe the management of acute problems, including narrow and broad complex tachycardia, severe hypo- or hypertension, severe hypoxia, laryngospasm, air/gas embolism, gastric aspiration, status asthmaticus, pulmonary oedema, failed intubation, the cannot-intubate-cannot-ventilate scenario, malignant hyperthermia anaphylaxis, intra-arterial injection, and unsuccessful reversal of neuromuscular blockade. It concludes with the management of paediatric emergencies, including paediatric advanced life support, ventricular fibrillation or tachycardia, neonatal resuscitation, the collapsed septic child, paediatric major trauma, acute severe asthma, and anaphylaxis, as well as with a discussion of paediatric drug doses and equipment.


2021 ◽  
pp. 1051-1098
Author(s):  
Andrew Kane ◽  
Richard Armstrong ◽  
Jerry P Nolan ◽  
Jasmeet Soar ◽  
Sorcha Evans ◽  
...  

This chapter discusses anaesthetic emergencies. It begins with a description of adult basic life support (BLS) and advanced life support (ALS). It goes on to describe post resuscitation care; severe bradycardia; tachycardia; severe hypo- or hypertension; severe hypoxia; laryngospasm; air/ gas embolism; gastric aspiration; severe bronchospasm; pulmonary oedema; anaphylaxis; latex allergy; intra-arterial injection; incomplete reversal of neuromuscular blockade; local anaesthetic toxicity; failed intubation; the can’t-intubate-can’t-oxygenate (CICO) scenario and malignant hyperthermia (MH).


2009 ◽  
pp. 105-144

Neonatal resuscitation 106 Paediatric basic life support 112 Paediatric advanced life support 118 Drowning and near-drowning 122 Acute severe asthma 124 Stridor 126 Anaphylaxis 128 Major trauma 130 Burns 132 Severe sepsis 136 Useful data 140 Drug formulary 142 Resuscitation of the newborn infant at delivery....


Author(s):  
Catherine M. Groden ◽  
Erwin T. Cabacungan ◽  
Ruby Gupta

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points


Resuscitation ◽  
2015 ◽  
Vol 95 ◽  
pp. e147-e168 ◽  
Author(s):  
Ian K. Maconochie ◽  
Allan R. de Caen ◽  
Richard Aickin ◽  
Dianne L. Atkins ◽  
Dominique Biarent ◽  
...  

Resuscitation ◽  
2011 ◽  
Vol 82 ◽  
pp. S30 ◽  
Author(s):  
George Bakalos ◽  
Christos Komninos ◽  
Apostolis Tsantilas ◽  
Theophilos Rosenberg

Author(s):  
A. O. Volosovets ◽  
B. I. Slonetsky ◽  
I. S. Zozulya ◽  
A. I. Zozulya ◽  
V. I. Bobrova

Мета роботи – оптимізувати викладання та розподіл алгоритмів виконання практичних навичок лікарями медицини невідкладних станів на догоспітальному та ранньому госпітальному етапах згідно з сучасними стандартами надання невідкладної медичної допомоги. Основна частина. Для реалізації та адекватного інструментального забезпечення демонстрації та наступного відпрацювання практичних навичок на кафедрі наявні спеціалізовані манекени та обладнання, які дозволяють у повному об’ємі виконувати всі маніпуляції, передбачені алгоритмами надання невідкладної медичної допомоги. Важливим аспектом, завдяки якому кафедра наслідує сучасним міжнародним стандартам надання допомоги, є розподіл викладання практичних навичок надання невідкладної допомоги з урахуванням загальноприйнятих в усьому світі понять BLS (basic life support) та ALS (advanced life support). Висновок. Оптимізація методики викладання практичних навичок для надання невідкладної медичної допомоги відповідно до сучасних стандартів лікування невідкладних станів збільшує якість надання допомоги та дозволяє зменшити втрати часу на догоспітальному етапі, що здатне значною мірою підвищити виживання та відсоток позитивного прогнозу для пацієнтів з невідкладною медичною патологією.


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