Case Presentation

Massive Pulmonary Embolism

Massive Pulmonary Embolism

“There were no other available extremities to place the pulse oximeter…The anesthesia provider…attempted to feel…

Cardiac Arrest After Anectine Administration

“An intubating laryngeal mask airway was placed but was also unsuccessful in facilitating ventilations. The…

Interoperative Cardiac Arrest

Intraoperative Cardiac Arrest

“The surgery progressed without incident until the tourniquet developed a leak. With the inadequate occlusion…

Airway Fire in the Operating Room

“ …they were in the process of recording vital signs on the anesthetic record when…

Pulmonary

Pulmonary Embolus Under Anesthesia

“ …after several minutes it was noted that all the adjustments were not helping and…

Complete Airway Obstruction After Tonsillectomy and Adenoidectomy

“The SpO2 fell to less than 50%, the heart rate was less than 40 beats…

Pediatric Laryngospasm

“Spontaneous respirations ceased at this point and positive pressure through the anesthesia circuit did not…

Epidural Syringe Swap

Epidural Syringe Swap

“plan was to slowly load the epidural prior to incision with an intended initial bolus…

Local Anesthetic Toxicity

“…gentle aspiration was performed and was negative for blood. Approximately one minute after the local…

Breathing Circuit MISconnect

“The next patient, an adult, was brought back to the operating room… The pressure check…