SIM Scenario Exchange

Intra-operative hypoxemia & tension pneumothorax

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 42 yo woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. Early into the procedure, she develops hypoxemia, hypotension and rising airway pressure. The team must recognize and manage a tension pneumothorax.

Learning Objectives:

Primary
1. Recognise clinical features of tension pneumothorax
2. Describe technique of needle decompression thoracocentesis
3. Adhere to ACLS protocols for cardiovascular collapse
4. Describe site-specific considerations for accessing equipment for chest tube
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. Intra-operative hypoxemia & tension pneumothorax. Simulation resource published by Simulation Canada; 2015. Available from https://simulationcanada.ca/scenario/intra-operative-hypoxemia-tension-pneumothorax/.

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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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