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Narcotized in the PACU

Narcotized in the PACU

The anesthesia provider asked for an Ambu® bag and the recovery room nurse realized all she had at the bedside was a pediatric size Ambu® bag.”

Case Context   Provider Narrative   Lessons Learned

Case Context

Patient: middle-aged male
Presenting diagnosis: osteoarthritis of the hip
Planned procedure: total hip arthroplasty
Past medical history: obesity, obstructive sleep apnea, poorly controlled hypertension
Anesthetic plan: spinal plus general anesthesia with an ETT

Provider Narrative

A middle-aged male patient presented for a direct anterior approach hip arthroplasty for activity-limiting hip pain. The patient was 5-feet, 7-inches tall and weighed 100 kg. His preoperative 12-lead ECG showed left ventricular hypertrophy. He had a short thick neck, large tongue, a narrow receding chin, an overbite, and a Mallampati class 2 airway. It was decided that a videolaryngoscope should be at the bedside as back-up for intubation.


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