Cases/

Case 10 — After central access

VCintermediate00:00Score 100
VCintermediate6 min

Case 10 — After central access

Handover

Five minutes after a central line. Sudden jump in PIP and Pplat, SpO₂ 78%, MAP 52. The trachea looks off-centre and there is no chest rise on the right.

Uncorrected hypoxemia, auto-PEEP shock, tension, or abdominal compartment progresses to pre-arrest, then a fail. Read the scalars before you turn a knob.

Goals

  • · Pleural drainage
  • · MAP ≥ 64
  • · SpO₂ ≥ 90%