Tricky Anaesthesia Problems
HTML-код
- Опубликовано: 14 окт 2021
- Thanks for watching!
Thanks Greg Coates for inviting me to present for your RADU group, which provides exceptional education for the GP anaesthetists who serve some of Australia's most remote and under resourced areas.
Well done on your education initiative!
This lecture goes through some interesting problems you may not have thought about during training.
1) Laryngospasm
2) Bronchospasm and ventilation
3) the difficult airway on the ward
4) IV cannula loss and hypotension
5) Failing metaraminol and persistent hypotension
6) Failing regional anaesthesia during surgery
These can be really difficult in real life to manage and make great scenarios for any anaesthesia exam!
If you enjoyed this content please like and subscribe
If you believe in this project, consider supporting me on my patreon:
/ abcsofa
Please post any comments or questions below.
Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook group for other content.
Any questions please email abcsofanaesthesia@gmail.com
Disclaimer:
The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
The information presented here does not represent the views of any hospital or ANZCA.
These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.
This disclaimer was created based on a Contractology template available at www.contractology.com.
This is amazing. I hope all your team did well in their exams
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!
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 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 😭😭😭
You light up the room, want to be youtube friends?