Key Basic Plan - Guidelines for Crises in Anaesthesia This Key Basic Plan will detect and identify almost all initial problems, allowing you to fix or temporise. There are specific drills for specific problems later on in the QRH. Using the same systematic approach: • Increases the chance of identifying the problem. • Reduces the risk of missing the problem. • Limits fixing attention inappropriately. ❶ Adequate oxygen delivery (Note Box B) • Pause surgery if possible. • Check fresh gas flow for circuit in use AND check measured FiO2. • Visual inspection of entire breathing system including valves and connections. • Rapidly confirm reservoir bag moving OR ventilator bellows moving. ❷ Airway (Box C) • Check position of airway device and listen for noise (including larynx and stomach). • Check capnogram shape compatible with patent airway. • Confirm airway device is patent (consider passing suction catheter). • Consider whether you need to isolate equipment (Box D). ❸ Breathing • Check chest symmetry, rate, breath sounds, SpO2, measured VTexp, EtCO2. • Feel the airway pressure using reservoir bag and APL valve (Box E) <3 breaths. ❹ Circulation • Check rate, rhythm, perfusion, re-check BP. ❺ Depth • Ensure appropriate depth of anaesthesia, analgesia and neuromuscular blockade. ❻ Consider surgical problem. ❼ Call for help if problem not resolving quickly By Association of Anaesthetists @ https://twitter.com/AAGBI Quick Reference Handbook - Guidelines for crises in anaesthesia #Basics #Checklist #ABCDs #ABCs #BasicPlan #Anesthesiology #Anesthesia #Diagnosis #Management #Workup
