SIM Scenario Exchange

Atrial Fibrillation During Surgery

Contributed on April 29, 2015, last updated June 29, 2022.

English

Author(s)

Pam Morgan, MD FRCPC, Dept of Anesthesia, Women’s College Hospital, University of Toronto
Jordan Tarshis, MD FRPCP, Dept of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto

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A 55 yo woman with increased risk for perioperative cardiac event comes to the hospital for day surgery. She is stable during unduction of anesthesia. Shortly into the operation her vital signs become unstable. The team must recognize and respond to unstable atrial fibrillation.

Learning Objectives:

Primary
1. Describe management of unstable narrow complex tachycardia
2. Perform synchronised DC cardioversion
3. Recognise when malignant arrhythmias require adherence to ACLS algorithms
4. Recall potential causes of atrial fibrillation and seek to eliminate those systematically
5. Describe some key components of clinical teamwork and identify applications in their practice
Secondary
1. Review contents of emergency ‚’crash‚Äô cart
2. Identify methods of improvement of non- technical skills/behavioral skills

Simulation Modality:

Manikin-based

Citation:

Morgan P, Tarshis J. Atrial Fibrillation During Surgery. Simulation resource published by Simulation Canada; 2015. Available from https://simulationcanada.ca/scenario/atrial-fibrillation-during-surgery/.

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License:

The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Target Learners

Interprofessional:

Yes

Profession:

Medicine
Nursing
Practical Nursing

Levels:

Continuing professional development
Graduate / postgraduate / residency

Fields / Disciplines:

Anesthesia / peri-anesthesia care
Surgical

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