Why would you intubate the first patient with the wrist fracture when a brachial plexus block would work perfectly assuming he has no other contraindications for it?
Great point! For straight laryngospasm, i can always open the mouth.. For light depth anaesthesia, tight jaw only occurs when we dont use paralysis. Ie LMA spont vent cases. But for general anaesthetic with muscle paralysis.. it is very unlikely to have a tight jaw/ masseter spasm This can occur if 1) pathology (facial abscess, infection, mass) 2) failure of relaxant 3) fractured mandible or other deranged anatomy 4) masseter spasm with malignant hyperthermia sux/ volatile use. So i take the context and probability to make a decision. Hope that helps!
I had a layrngospasm 3 years ago at extubation i have sleep apnea undiagnosed at the time to .I was given more propopol sux and LMA re placed.im scared bad and think ill die with my endoscopy and lingual tonsil surgery coming up 😭😭😭
This is amazing. I hope all your team did well in their exams
Why would you intubate the first patient with the wrist fracture when a brachial plexus block would work perfectly assuming he has no other contraindications for it?
I had a laryngospasm during cardiac ablation while under MAC sedation.
In the initial scenario, could this also be masseter muscle spasm (either after volatile, or sux)? In this case, sux may make this worse.
Great point!
For straight laryngospasm, i can always open the mouth..
For light depth anaesthesia, tight jaw only occurs when we dont use paralysis. Ie LMA spont vent cases.
But for general anaesthetic with muscle paralysis.. it is very unlikely to have a tight jaw/ masseter spasm
This can occur if
1) pathology (facial abscess, infection, mass)
2) failure of relaxant
3) fractured mandible or other deranged anatomy
4) masseter spasm with malignant hyperthermia sux/ volatile use.
So i take the context and probability to make a decision.
Hope that helps!
I had a layrngospasm 3 years ago at extubation i have sleep apnea undiagnosed at the time to .I was given more propopol sux and LMA re placed.im scared bad and think ill die with my endoscopy and lingual tonsil surgery coming up 😭😭😭
What is the acronym: CHeSS?
C: Confirm (vital reading or problem)
H: Get required help
e
S: Scanning the patient, surgery and monitors
S: stop the surgery
@@dan.giles422 thanks ! Where is this mnemonic from?
You light up the room, want to be youtube friends?