PPT-NAP6 – deaths, cardiac arrests, profound hypotension and outcomes

Tim Cook Director of NAP program Consultant AnaesthesiaIntensive Care Bath What we already knew Death from anaphylaxis usually lt1 hr 4 commonly quoted for periop hypersensitivity Grade 14. Medicolegal. Autopsies. First Author : . Demeny. Andrea. Coauthor . : . Munteanu. Lucian. Coordinator : . Lecturer . Hadareanu. . Viorel. Background. Sudden cardiac death(SCD) is defined as being a natural death, of a cardiac nature, with an unexpected loss of consciousness, related, or not, to the existing heart condition.. cardiac output blood flow to heart (Vm) Orthostatic hypotension following rapid position changes Pregnancy (usually not acute) Medications Heart problem (bradycardia, ischemia, heart failure, va B. radycardia after a Subarachnoid Block in the Obstetric Population: . Is Zofran the Answer?. Lauren Tennis, BSN, RN, SRNA. York College of Pennsylvania. Objectives. Review of . SAB and the physiologic effects. Consider increasing dose of adrenaline or noradrenaline. NOT. . dobutamine. /dopamine/. milrinone. or . vasopression. Treat specific problem . order. blood, plan for DCCV, CT; . call. . surgeon. , . B. radycardia after a Subarachnoid Block in the Obstetric Population: . Is Zofran the Answer?. Lauren Tennis, BSN, RN, SRNA. York College of Pennsylvania. Objectives. Review of . SAB and the physiologic effects. Joseph Yanta, MD. Clinical Assistant Professor, Division of Medical Toxicology, Department of Emergency Medicine, UPSOM. Assistant Medical Director, Pittsburgh Poison Center. Presenter Disclosure Information. Overall categories. What is SADS/MNH?. How is SADS diagnosed?. It can happen in maternity unit. ….but more often outside hospital. How the SADS cases were identified. The SADS autopsy diagnostic process. Robert . Zecchin*, . Cuynet Ada, Jim Pouliopoulos, Saurabh Kumar, . A. . Robert Denniss. . Westmead . Hospital, Sydney NSW.. Global . incidences of out-of-hospital cardiac arrest and survival . rates: Systematic . Introduction. Vasopressor. Increase BP & MAP by vasoconstriction. Reserved for persist hypotension after volume resuscitation. Most have multiple actions on heart and vascular. Some are inotropes > improve cardiac output (LVHF or cardiogenic shock). The Royal College of Anaesthetists’ 6. th. National Audit Project. Starting 5. th. November 2015. V5 15.10.15 . Examine infrequent adverse events/outcomes related to anaesthetic practice. Produce recommendation relating to their prevention, identification and management. 252 Vagal Syncope Vagal syncope is the most common form of neurocardiogenic syncope. Vasovagal is usually benign and self-limiting but could prove fatal in patients with limited cardiac reserve, s FEATURES INDICATING HOSPITALIZATION OR INTENSIVE EVALUATION OF SYNCOPEChest pain suggesting coronary ischemiaFeatures of congestive heart failureModerate or severe valvular diseaseModerate or severe s awareness, screening and research . and supporting affected families. Alison Cox MBE. Founder and Chief Executive . . . The number of apparently fit and healthy young people believed to be dying every week in the UK of undiagnosed heart conditions. Profound hemodyamic and metabolic disturbance characterized by failure of the circulatory system to maintain adequate perfusion of vital organs. Types of Shock. Cardiogenic (intracardiac vs extracardiac).