Use of Emergency Manuals to Treat Intraoperative Supraventricular Tachycardia and Hypotension During Exploratory Laparotomy
| Autor: | Jeffrey Huang, Kyle Sanchez, Daniel Eskander, Islaam Elnagar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Exploratory laparotomy medicine.medical_treatment Cardiology 030204 cardiovascular system & hematology 03 medical and health sciences QRS complex 0302 clinical medicine Anesthesiology emergency manual use medicine emergency manuals intraoperative arrhythmia Intensive care medicine business.industry General Engineering intraoperative tachycardia Pharmacologic Agent Refractory hypotension medicine.disease Quality Improvement Supraventricular tachycardia Hemodynamic stability business Healthcare providers 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Although intraoperative tachyarrhythmias are relatively common, their appropriate management is pertinent to reducing morbidity and mortality. In certain clinical scenarios, the initial steps of managing intraoperative tachyarrhythmias may be ambiguous. Emergency manuals (EMs) are cognitive aids that improve the outcome of critical events by providing current, medically established guidelines on management. The case of a patient with an intraoperative supraventricular tachycardia with narrow, irregular QRS complexes and refractory hypotension is described here. Relevant sections of Stanford Anesthesia Emergency Manual were activated immediately and guided the anesthesiologists in treating the patient's arrhythmia. The utilization of an EM allowed rapid selection of a pharmacologic agent that achieved hemodynamic stability. EMs allow healthcare providers to respond more appropriately and efficiently during critical events and thus directly improve patient care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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