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Intraoperative Cardiac Arrest

Intraoperative Cardiac Arrest

Interoperative Cardiac Arrest

“The surgery progressed without incident until the tourniquet developed a leak. With the inadequate occlusion pressure, an increase in blood loss was noted.”

Case Context      Provider Narrative     Contributing Factors      Lessons Learned

Case Context

Patient: older adult female Ht: 66 in. Wt: 116kg
Presenting diagnosis: osteoarthritis
Planned procedure: primary right total knee arthroplasty (TKA)
Past medical history: idiopathic cardiomyopathy; EF of 23%; atrial fibrillation; insulin dependent diabetes, mild COPD
Preoperative meds: enalapril, furosemide, metoprolol, digoxin, albuterol MDI, Humalog R, Humalog N, warfarin (discontinued 7 days prior to surgery)
Other pertinent details: Serum chemistry “WNL”; Complete blood count “mild anemia”; INR 1.7
Anesthetic plan: general anesthesia with femoral nerve catheter for postoperative analgesia 


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