T10: Emergencies

Question 1

What is IPPV?

Answer 1

• Intermittent Positive Pressure Ventiliation
• squeezing bag to give breaths (close off first), can manually fill bag before giving breath

Question 2

List some things you would check if you encountered an anaesthetic emergency?

Answer 2

• airway, breathing, MM
• circulation, pulse, CRT
• oxygen (flowmeter)
• breathing circuit is connected
• ventilation (check bag)
• ET tube and cuff
• drugs given -wrong dose or drug
• embolism, intrapleural air
• anaphylaxis

Question 3

Common anaesthetic emergencies include:

Answer 3

airway obstruction

laryngeal spasm

respiratory insufficiency

cardiopulmonary arrest

Question 4

What should happen if cardiopulmonary arrest occurs?

Answer 4

• First deliver a single, strong thump to the left thorax, then carry out the below:
• resus (ABCDE):
• airway establish
• breathing: artificial vent w/ 100% )2, 20-50bpm
• circulation: external cardiac compresions 100per min
• drugs
• catheter
• adrenaline

Question 5

What is the goal of CPR?

Answer 5

TO ACHIEVE ROSC (RETURN OF SPONTANEOUS CIRCULATION)

Question 6

When not to resuscitate (in cpr emergency)?

Answer 6

resuscitation is not attempted for

• animals that have been without spontaneous circulation for more than 15-20 minutes
• terminally ill or terminally injured patients
• patients whose owners have signed a DNR (Do Not Resuscitate).