Anaesthetic bag not moving during chest drain surgery

RE: Anaesthetic bag not moving during chest drain surgery

Holly anon — Sat, 30 Oct 2021 19:51:32 GMT

This is such a nice response!

RE: Anaesthetic bag not moving during chest drain surgery

V E S — Sat, 30 Oct 2021 18:28:29 GMT

Could be a number of things. It sounds like a complicated case and would not have been an easy fix and poor prognosis anyway, particularly if it was unstable before anaesthesia.

I would recommend doing a Morbidity & Mortality meeting (if you don't already do these) and you can talk through cases like this with your colleagues, particularly staff involved with the case. They are "no blame" meetings and simply there to discuss cases of near misses or deaths, and see if there could be any changes implemented in practice. Always good to ask questions and reflect on these situations. For example; Could the drain have been placed under local rather than unstable dog under GA? Was free fluid in abdomen putting pressure on the chest? Was his chest raised? Is there a ventilator available, could this be considered in future? Was he on capnography? What drugs was he given - would they have affected respiration?

I hope this helps. Sounds like he was in a really bad way and poor prognosis so don't take it to heart x

RE: Anaesthetic bag not moving during chest drain surgery

annaka lee — Sat, 30 Oct 2021 12:03:57 GMT

Sometimes with traumatic haemothorax's you can get alveola damage and contusions/swelling within the lung tissue affected its capacity to expand. Sadly one of those things, awful to watch

RE: Anaesthetic bag not moving during chest drain surgery

Holly anon — Sat, 30 Oct 2021 07:21:49 GMT

Could it be that the breaths were just purely insufficient, agonal? The bag is also a reservoir I believe so perhaps it was feeding off of the circuit rather than the bag recognising much has happened?