Background
Malignant Hyperthermia (MH) is a rare, life-threatening event and many clinicians may be unprepared for management should a crisis occur. Simulation is a recognized teaching method to facilitate learning in a safe environment, and scenarios can be developed to resemble real life experiences. Our aim was to provide education to operating room (OR) staff in its early recognition, treatment, and management.
Methods
We formed an interdisciplinary perioperative team and developed an MH education plan for OR staff. An educational presentation by an anesthesiologist was followed by role playing scenarios using high-fidelity simulation in the OR suite.
Results and Clinical Implications
OR staff responded very favorably to the lecture and the simulation exercise. Outcomes achieved included role clarity, improved anticipatory response and overall team cohesion and interaction. As an immediate consequence, the MH cart was updated and reorganized and an institutional MH policy implemented.
NCs provide supplemental inspired O2 concentrations for patients with impaired pulmonary function. Accurate measures of ETCO2 are helpful in assessing respiratory rate and determining whether CO2 retention is occurring from hypoventilation. These findings suggest the NC with separate NPs was the most effective in delivering O2 and the most consistent at providing reliable CO2 waveforms at higher FGFs.
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