A canceled case

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Why is it reasonable to cancel an elective case after messing up the airway and securing it? You've already exposed the patient to the greatest risk they're going to encounter. Why cancel when they're going to have to go again and face that same risk again without a guaranteed outcome?

Also if you're comfortable extubating a patient satting 91% on 100% FiO2, why are you not ok proceeding with the case. So much stupidity. If this is PCP (LOL) with a P:F of ~60 then take the patient to the ICU intubated.

I wouldn’t start a case if i can’t get the sat above 91% on 100% Fi02 and mechanical ventilation, especially not an ortho case where they’ll be banging around on bones. I would figure out whats wrong with their lungs and send them to the ICU tubed if i can’t fix it quickly before the case. Continuing with 91% sat, no further workup, optimization, or definitive diagnosis is wreckless. Agreed that extubating a difficult airway after multiple attempts at intubation with airway trauma and low sats would be dangerous.

He said he couldn’t move the arm after reversing. I assumed this was after extubating.

Repeating the same induction plan would indeed be stupid. Regional, regional with sedation, keeping them breathing spontaneously during induction with an LMA, or an awake fiber optic would all obviously be safer choices.

 

[secretasianman]

Anyone here mildly concerned about doing a supraclav block in the first place on a dude whose SpO2 is 92% on room air?

Not mildly. Concerned af!

 

[anbuitachi]

Diving Into Sharrif Floyd's $180M suit vs. Dr. Andrews

Sharrif Floyd's lawsuit against Dr. James Andrews won’t be an easy case to settle, riddled with challenges in proving $180 million in damages.

www.si.com

wonder what happened. its been 2 years

 

[AnesRunner]

wonder what happened. its been 2 years

Reason number 1000 not to ever do postop blocks.