Tricky Anaesthesia Problems

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!
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[@robc8892]

This is amazing. I hope all your team did well in their exams

[@gigiunderwood3630]

I had a laryngospasm during cardiac ablation while under MAC sedation.

[@calamari5285]

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?

[@georgeagyekum1987]

In the initial scenario, could this also be masseter muscle spasm (either after volatile, or sux)? In this case, sux may make this worse.

[@ABCsofAnaesthesia]

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!

[@melissabrill8367]

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 😭😭😭

[@timehealthfit1891]

You light up the room, want to be youtube friends?