Page 1
THE ROYAL WOLVERHAMPTON
HOSPITAL NHS TRUST
Critical Care Services Directorate
THE
ANAESTHETIC EMERGENCIES
HANDBOOK
Compiled by Dr Yat Li
with contributions from Dr Benjamin Matthews
Electronic version available to download from
www.wolvesgas.org.uk
Guidelines reproduced with permission
Last updated: May 2017
Page 2
Pag
e1
ANAESTHETIC EMERGENCIES HANDBOOK
CONTENTS
1. MANAGEMENT OF SUSPECTED ANAPHYLAXIS
(AAGBI 2009) Page 2
2. MANAGEMENT OF SEVERE LOCAL ANAESTHETIC TOXICITY (AAGBI 2010)
Page 4
3. MANAGEMENT OF MALIGNANT HYPERTHERMIA CRISIS (AAGBI 2015)
Page 7
4. ADULT ALS ALGORITHM (Resuscitation Council UK 2015) Page 10
5. PAEDIATRIC ALS ALGORITHM (Resuscitation Council UK 2015) Page 12
6. CHECKLIST FOR ANAESTHETIC EQUIPMENT (AAGBI
2012) Page 15
7. DAS ADULT DIFFICULT INTUBATION GUIDELINES
(DAS 2015) Page 17
8. DAS EXTUBATION GUIDELINES (DAS 2011) Page 20
9. DAS OBSTETRIC GUIDELINES (DAS 2015) Page 23
10. DAS PAEDIATRIC GUIDELINES (DAS 2015) Page 29
11. PROTOCOL FOR SUGAMMADEX (Jul 2015) Page 32
Page 3
Pag
e2
1. MANAGEMENT OF SUSPECTED ANAPHYLAXIS
CONTENTS
Page 4
Pag
e3
1. MANAGEMENT OF SUSPECTED ANAPHYLAXIS
CONTENTS
Page 5
Pag
e4
2. MANAGEMENT OF SEVERE LOCAL ANAESTHETIC TOXICITY
CONTENTS
Page 6
Pag
e5
2. MANAGEMENT OF SEVERE LOCAL ANAESTHETIC TOXICITY
CONTENTS
Page 7
Pag
e6
2. MANAGEMENT OF SEVERE LOCAL ANAESTHETIC TOXICITY
CONTENTS
Page 8
Pag
e7
3. MANAGEMENT OF MALIGNANT HYPERTHERMIA CRISIS
CONTENTS
Page 9
Pag
e8
3. MANAGEMENT OF MALIGNANT HYPERTHERMIA CRISIS
CONTENTS
Page 10
Pag
e9
3. MANAGEMENT OF MALIGNANT HYPERTHERMIA CRISIS
CONTENTS
Page 11
Pag
e10
4. ADULT ALS ALGORITHM
CONTENTS
Page 12
Pag
e11
4. ADULT ALS ALGORITHM
CONTENTS
Page 13
Pag
e12
5. PAEDIATRIC ALS ALGORITHM
CONTENTS
Page 14
Pag
e13
5. PAEDIATRIC ALS ALGORITHM
CONTENTS
Page 15
Pag
e14
5. PAEDIATRIC ALS ALGORITHM
CONTENTS
Page 16
Pag
e15
6. CHECKLIST FOR ANAESTHETIC EQUIPMENT
CONTENTS
Page 17
Pag
e16
6. CHECKLIST FOR ANAESTHETIC EQUIPMENT
CONTENTS
Page 18
Pag
e17
7. DAS ADULT DIFFICULT INTUBATION GUIDELINES
CONTENTS
Page 19
Pag
e18
7. DAS ADULT DIFFICULT INTUBATION GUIDELINES
CONTENTS
Page 20
Pag
e19
7. DAS ADULT DIFFICULT INTUBATION GUIDELINES
CONTENTS
Page 21
Pag
e20
8. DAS EXTUBATION GUIDELINES
CONTENTS
Page 22
Pag
e21
8. DAS EXTUBATION GUIDELINES
CONTENTS
Page 23
Pag
e22
8. DAS EXTUBATION GUIDELINES
CONTENTS
Page 24
Pag
e23
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 25
Pag
e24
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 26
Pag
e25
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 27
Pag
e26
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 28
Pag
e27
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 29
Pag
e28
9. DAS OBSTETRIC GUIDELINES
CONTENTS
Page 30
Pag
e29
10. DAS PAEDIATRIC GUIDELINES
CONTENTS
Page 31
Pag
e30
10. DAS PAEDIATRIC GUIDELINES
CONTENTS
Page 32
Pag
e31
10. DAS PAEDIATRIC GUIDELINES
CONTENTS
Page 33
Pag
e32
11. PROTOCOL FOR SUGAMMADEX
CONTENTS
Page 34
Pag
e33
11. PROTOCOL FOR SUGAMMADEX
CONTENTS
Page 35
Pag
e34
11. PROTOCOL FOR SUGAMMADEX
CONTENTS