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Here's something to think about:
Starting an A/P spine today. I intubated with a fiberoptic scope just for skill upkeep. Not a difficult airway. The surgeons do the anterior lumbar surgery. We move the patient from the OR table to the stretcher. I give another 20 mg of Rocuronium Next from the stretcher we flip the patient prone back onto the OR table. I have the patient in a Shea head rest and then connect my tube back to my circuit. As I start my vent my previous tidal volumes are way down at like 200 and my peak airway pressures are 48. Patient had history of asthma. I turn off the vent turn up O2 and when I hand ventilate still have same vent issues. I ascultate the back and hear little to nothing. I call for my fiberoptic back in the room.
What do you think is happening and what would you do? The answer is to follow...
Starting an A/P spine today. I intubated with a fiberoptic scope just for skill upkeep. Not a difficult airway. The surgeons do the anterior lumbar surgery. We move the patient from the OR table to the stretcher. I give another 20 mg of Rocuronium Next from the stretcher we flip the patient prone back onto the OR table. I have the patient in a Shea head rest and then connect my tube back to my circuit. As I start my vent my previous tidal volumes are way down at like 200 and my peak airway pressures are 48. Patient had history of asthma. I turn off the vent turn up O2 and when I hand ventilate still have same vent issues. I ascultate the back and hear little to nothing. I call for my fiberoptic back in the room.
What do you think is happening and what would you do? The answer is to follow...