Anaes Vivas · Extubation & recovery
Clinical viva — the delayed emergence
A clinical viva on the delayed emergence — the differential (the residual drug — the opioid, the relaxant, the benzodiazepine; the metabolic — the glucose, the electrolytes; the neurological — the stroke, the haematoma), the reversal, the ABG, the glucose, the temperature, the neuroimaging; and the not-the-attribution.
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ANZCAFRCAABAEDAIC
Prompt
A junior colleague asks how you approach the patient who is slow to wake after the general anaesthetic. Walk them through the assessment.
Stimulus
A junior colleague asks: "The patient is slow to wake 40 minutes after the end of the general anaesthetic. How do you approach it?" Walk them through the assessment.
References2ShowHide
- [1]Cooper RM, et al. Difficult Airway Society guidelines for the management of tracheal extubation. Anaesthesia, 2013.PMID 23298360
- [23298361]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.