18 year old QB in Georgia dies following "routine" shoulder surgery

[woopedazz]

If the disease had been known - what decisions would have been made differently (from an anesthesia standpoint)?

Just don't let them fast for a long time and maybe run some dextrose peri-op, right?

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[Silo004]

I used to think this way as well, until I had an epiphany and realized that I don’t wring my hands and worry about paralysis and the reversal of it, bucking on a tube, etc for a routine procedure like a lap appy or a lap chole - why should I suddenly start worrying about these things for a shoulder scope? It took one or two questionable LMAs with hypoventilation etc in the sitting position for me to think “I’m too old for this ****” and decided to intubate everyone going forward. And to be clear, I don’t use narcotics either during the procedure (the 25-50 mcg of fentanyl I give for the block is still in effect during intubation). Not saying you can’t do it with an LMA — I just don’t want that kind of stress in my life.

100 percent agree. Had an LMA unseat during a beach chair case and have tubed everyone in beach chair ever since.

 

[nimbus]

Another case. Sometimes it’s good to think about zebras.

Protein drinks should carry warning after boy died, says coroner

Rohan Godhania, 16, fell ill after drinking a protein shake and died days later, an inquest hears.

www.bbc.com

 

[ucladoc2b]

Another case. Sometimes it’s good to think about zebras.

Protein drinks should carry warning after boy died, says coroner

Rohan Godhania, 16, fell ill after drinking a protein shake and died days later, an inquest hears.

www.bbc.com

I’m getting flashbacks to my med school PBL classes.