Emergency Procedures

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  1. Emergencies in anesthesia can be due to multiple problems.  What are the most common problems?
    • Human error
    • Equipment failure
    • Adverse anesthetic effects
    • Patient related issues
  2. Human errors are typically caused by what?
    Inattention to detail
  3. List some common problems associated with human error
    • Failure to maintain a thorough history
    • Failure to perform a pre-anesthetic  physical exam
    • Lack of experience w/ the anesthesia machine & anesthetic agents
    • Incorrect administration of drugs
    • Inattention to patients
    • Fatigue
    • Failure to respond early to signs of change in the patient
  4. How are anesthetic emergencies avoided?
    • Be compentent with:
    • Drugs
    • Body physiology
    • Normal & abnormal vital signs & what they mean
    • Anesthetic equipment
    • Specialty techniques
    • Patient, lab work & anesthetic depth
  5. How are equipment failures avoided?
    Checking equipment prior to their use
  6. Dexmedetomidine is an alpha-2 drug that may have what adverse effects?
    • Vasocontriction (hypertension)
    • Bradycardia
  7. Why is Atropine only given before Dexmedetomidine and never after?
    It can cause fatal arrhythmias if given after Dexmedetomidine
  8. How is BP calculated?
    CO x HR
  9. What is the lowest acceptable systolic BP?
    90 mmHg
  10. What is the lowest acceptable MAC? What can be done to correct MAC if it becomes a problem?
    • 60 mmHg
    • Give a fluid bolus, decrease the anesthetic
  11. What is a side effect commonly associated with opioid use?
    Respiratory depression
  12. How many patient classes are there?  What does each class mean?
    • 5 classes
    • Class 1: minimal risk, healthy animal, routine procedures
    • Class 2: slight risk, minor dz present; geriatrics, neonates, obese animals
    • Class 3: moderate risk; severe compensated systemic dz
    • Class 4: high risk, severe systemic dz that is life threatening; hemorrhage, pyometra, pneumothorax
    • Class 5: extreme risk; moribund patient that is nor expected to survive w/o sx; end stage of organ failure, major trauma, shock

Card Set Information

Author:
 anniles
ID:
 180116
Filename:
 Emergency Procedures
Updated:
 2012-10-26 22:25:05
Tags:
CPCR anesthesia emergencies
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Description:
Emergency procedures
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