Resuscitation

Question 1

What changes you are going to make if the patient is highly pregnant in cardiac arrest?

Answer 1

1. High Hand position for chest compression
2. Manually displace the uterus to the left
3. If difficult to place the apical electrode, use an antero - posterior or bi - axillary electrode position.
4. Consider using a tracheal tube 0.5 - 1.0 mm small than usual
5. Establish IV access at the level above the diaphragm
6. If resuscitation attempts fail to achieve ROSC, consider an immediate caesarean section to deliver the foetus within 5 minutes of the mother’s cardiac arrest.

Question 2

Outline the non - anaesthetic treatments for patient with larygospasm?

Answer 2

1. Gentle suctioning
2. High flow oxygen via tight fitting face mask
3. CPAP
4. Larson’s manoeuvre (jaw thrust with anterior pressure applied to the ramus of the mandible in the laryngospasm notch)