Intra-operative crises

Every answer in Intra-operative crises has these

• Name the crisis and its algorithm aloud, then the finding in this patient that puts them on it.
• Call for help early, tell the surgeon, and give each helper one job.
• Give each drug at its usual dose for that use, at the step where it belongs.
• Treat this patient's cause, then say where the patient recovers and who follows up.

The cases

1. Ventricular tachycardia in the beach-chair position Core
2. Desaturation in the prone position
3. Stridor after anterior cervical fusion
4. Expanding neck haematoma after parathyroidectomy
5. Leg weakness with a thoracic epidural
6. Massive pulmonary embolism for catheter thrombectomy Coreand 1 more patient
7. CO2 embolism during laparoscopic liver resection
8. Euglycaemic ketoacidosis after knee replacement
9. Bleeding duodenal ulcer on rivaroxaban
10. TURP syndrome under spinal anaesthesia Coreand 1 more patient
11. Malignant hyperthermia during laparoscopic hernia repair Core
12. Prolonged apnoea after suxamethonium for ECT
13. Laryngospasm and negative-pressure pulmonary oedema after septoplasty
14. Complete heart block before an urgent ureteric stent Core
15. Delayed LAST after bilateral TAP catheters Coreand 2 more patients
16. Bradycardic arrest under spinal anaesthesia
17. Chlorhexidine anaphylaxis with arrest in an asthmatic Core
18. Adrenal crisis in Addison's disease at appendicectomy
19. Airway fire during open tracheostomy
20. Acute haemolytic transfusion reaction during hip revision
21. Bone cement implantation syndrome with aortic stenosis Core