Outpatient Surgery Magazine

Manager's Guide to Ambulatory Anesthesia - July 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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3 5 J U LY 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E T he mock codes at Mercy Hospital in Portland, Maine, were simply good practice until the end-tidal CO 2 of a relatively healthy 54-year-old man undergoing routine shoulder surgery began to rise. Minutes later, he was in the midst of a fulminant malignant hyperthermia episode. The sur- gical team assembled bedside in seconds, estab- P A T I E N T S A F E T Y 5 Keys to Managing MH Daniel Cook Executive Editor Rhonda Abbott QUICK DRAW Seconds count when treating patients stricken with malignant hyperthermia. The potentially fatal disorder can strike at any time. Are you prepared to save a life? lished extra IV access, started mixing dantro- lene and ultimately res- cued the patient. Later, the surgical nurses told Theresa Clifford, MSN, RN, CPAN, that the entire scene played out as they had rehearsed. "A nurse even retrieved the MH cart before anyone called for it because she recog- nized what was happen- ing," says the hospital's nurse manager of periop- erative services and the nurse liaison for special projects of the American Society of PeriAnesthesia Nurses. "The entire team knew exactly what to do and when to do it. That helped save a life that day." SS_1407_Layout 1 7/1/14 2:24 PM Page 35

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