Severe intraoperative bronchospasm

Too many details to discuss, but essentially a known asthmatic had severe bronchospasm on induction, lungs do tight CRNA could hardly ventilate. By the time I arrived, pt blue, sats 19 and could hardly move air. Albuterol has been attempted to delivered unsuccessfully. I bolused 10mcg of epi incrementally until it cleared up. Extubated and did fine. One of my partners then asked why I didn’t give Sux to break the bronchospasm. I had never considered giving Sux unless there... Severe intraoperative bronchospasm
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums

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Neuromuscular blocking agents (NMBA) such as rocuronium, vecuronium, cisatracurium, succinylcholine, etc. are commonly used during anesthesia induction. There are reported cases of perioperative anaphylaxis due to NMBA; however, the cross reactivity between these medications is not well determined.
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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