Hello ladies and gentlemen.
Welcome to our ongoing
series of lectures on Anesthesiology. In this lecture
I'm going to spend some time talking
about Emergencies That Occur in the Operating
Room. This is a highly selective group
of emergencies we're going to discuss, one of which
is unique to anesthesia, but extremely rare.
So, this is the agenda
for our talk. The first
discussion is going to be on Malignant Hyperthermia.
Then we're going to discuss Cardiac Arrest in several
forms, including those forms that are treated
through Advanced Cardiac Life Support programs.
Hyperkalemic Arrest, which is not unique
to anesthesia, but is certainly
a problem in anesthesia and arrhythmias.
We'll then talk about Massive Hemorrhage,
Anaphylaxis, Head Injuries with increased
intracranial pressure and how they're managed.
For my own purposes I've divided emergencies
in the operating room into three
categories. One is Drug Induced,
and that includes Malignant Hyperthermia,
Anaphylaxis and Hyperkalemic Arrest. The second
is Patient Induced. And don't think
that I'm suggesting the patient purposely
induces a problem. This is the patient who has
some kind of medical problem that leads to a problem within the operating
room. And this includes things such as Massive Hemorrhage,
Brain Swelling and Increased Intracranial
Pressure, and Ischemic Cardiac Arrest.
And then the third category I called
Doctor Induced or Iatrogenic
emergencies, which include Wrong Drug,
Wrong Dose, Wrong Side, Wrong Surgery
and Surgeon Induced Hemorrhage.