Remove CRNA Remove Hematoma Remove In-Procedure
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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

The patient is having difficulty breathing, the oxygen saturation is less than 80%, the blood pressure is elevated at 170/100, and there is a facial hematoma developing in the right cheek which is inhibiting the patient’s ability to breathe. The patient is a 66-year-old woman admitted for a facelift, neck lift, and blepharoplasties.

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ANESTHESIOLOGISTS, DON’T BE AFRAID TO CUT INTO A PATIENT’S NECK

The Anesthesia Consultant

The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. A surgical airway is an invasive airway via the front of the patient’s neck into their trachea. The patient sustained anoxic brain injury and later died.”