Management of profound hypotension secondary to spinal anesthesia: simulation case scenario.
نویسندگان
چکیده
DEMOGRAPHICS Case Title: Dante Jackson’s Anterior Cruciate Ligament (ACL) Repair (Cardiovascular collapse from a “high spinal”). Patient Name: Dante Jackson. Case Description and Diagnosis: A spinal anesthetic that results in cardiovascular collapse in a 24-year-old healthy male presenting for repair of the left ACL injury. Simulation Developers: Yetunde Olutunmbi, MD; William McIvor, MD; and Jessica Borrell. Dates of Development: June–December 2008. Target Audience: Medical students (4th year), Anesthesiology residents (post-graduate year 2–5), Anesthesiology faculty for continuing medical education (CME), student registered nurse anesthetist (SRNA), or certified registered nurse anesthetist (CRNA).
منابع مشابه
The Effect of Prophylactic Infusion of Combined Ephedrin and Phenylephrine on Maternal Hemodynamic after Spinal Anesthesia for Cesarean Section: A Randomized Clinical Trial
Several techniques have been proposed to prevent hypotension in obstetric patients. Ephedrine and phenylephrine are individually used to prevent maternal hypotension; however, each has its own drawbacks. Some researchers have reported that the infusion of combined ephedrine and phenylephrine immediately after spinal anesthesia for cesarean delivery reduces the incidence of maternal hypotension....
متن کاملManagement of Hypotension and Bradycardia Caused by Spinal Cord Injury. The Usefulness of Midodrine and Methylxanthines
Spinal cord injury is a devastating chronic condition resulting in temporary or permanent motor,sensory or autonomic dysfunction of the cord. The manifestation of spinal cord injury based onthe severity and involved areas could be different. Numerous studies have demonstrated thatbradycardia, hypotension, and orthostatic hypotension are present insignificant number ofpat...
متن کاملManagement of Hypotension and Bradycardia Caused by Spinal Cord Injury. The Usefulness of Midodrine and Methylxanthines
Spinal cord injury is a devastating chronic condition resulting in temporary or permanent motor,sensory or autonomic dysfunction of the cord. The manifestation of spinal cord injury based onthe severity and involved areas could be different. Numerous studies have demonstrated thatbradycardia, hypotension, and orthostatic hypotension are present insignificant number ofpat...
متن کاملمقایسهی اثرات تجویز کلوئید قبل و بعد ازآنستزی اسپاینال Co-Loading)و (Pre-Loadingدر پیشگیری از هیپوتانسیون مادران دراعمال سزارین
Background and Objective: Hypotension associated with spinal anesthesia for cesarean section is still a clinical problem. The role of crystalloid preloading to prevent hypotension associated with spinal anesthesia in parturients during cesarean section has been challenged. However, studies with crystalloids predict that fluid loading should be more efficacious if administered immediately after ...
متن کاملAcute Hypotension in a Patient Undergoing Posttraumatic Cervical Spine Fusion..., AANA Journal, February 2009
www.aana.com/aanajournal.aspx Hypotension should be vigilantly prevented in patients with spinal cord injury. Recent advances in neurological, intraoperative monitoring techniques have allowed Certified Registered Nurse Anesthetists to assess the effects of spinal cord ischemia and compression as they occur. This case report describes a young, healthy man who sustained a cervical spine fracture...
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ورودعنوان ژورنال:
- Simulation in healthcare : journal of the Society for Simulation in Healthcare
دوره 5 1 شماره
صفحات -
تاریخ انتشار 2010