Cases/

Case 19 — After RSI

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Case 19 — After RSI

Handover

RSI twenty minutes ago with succinylcholine. Masseter was tight and they pushed through. EtCO₂ is 78 despite a minute ventilation that should have dropped it. Temp 39.6, chest rigid, K 6.1, mixed acidosis.

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

  • · Dantrolene given
  • · Active cooling started
  • · Hyperkalemia treated
  • · PaCO₂ ≤ 50
  • · Temp ≤ 38.6 °C