Cardiac Arrest After Anectine Administration

“An intubating laryngeal mask airway was placed but was also unsuccessful in facilitating ventilations. The anesthesia provider decided to administer anectine 40mg IV….”

Case Context     Narrative     Lessons Learned

Case Context

Patient: young adult
Presenting diagnosis: traumatic paraplegia
Planned procedure: percutaneous endoscopic gastrostomy (PEG) tube insertion
Past medical history: 1 ppd smoker
Preoperative meds: not provided
Other pertinent details: cervical collar in place
Anesthetic plan: general endotracheal anesthesia