Case study

Induction

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Case study. Situation assessment

Situation

Key Facts

Patient arrives for scheduled laparoscopy cholecystectomy surgery.

Characters

Patient is a 30 year old female. Prior medical history including mild asthma. No prior significant surgerical history.

Context in which the action takes place

Patient is induced with general anesthesia following receiving premedication of Versed 2mg prior to induction. Following induction, the patient experiences bronchospasm with Oxygen saturation decreasing from 98% to 85%.

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Objectives

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Problem Statement

• Includes images and entertains.
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• Uses timelines.
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Practical case. suggestion of strategies

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Attempted manual ventilation with 100% fio2.

Unsuccessful improvement secondary to bronchospasm.

Patient oxygen saturation continues to remain 80-85%

Albuterol VIA nebulizer with limited improvement

Anesthesia provider administers intravenous epinephrine for management of bronchospasm

Case study. reference content

Background

Given the patient's presenting medical history of mild asthma, it is determined that the patient experienced a bronchospasm secondary to the administration of rocuronium. Oxygen saturation improves following adminstration of intravenous epinephrine and nebulized albuterol. She is extubated and brought to the recovery room for post-operative management.

Data

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