Abstract
A 76-year-old female is scheduled for an emergency VP shunt. Two weeks prior, she had a craniotomy for a cerebral aneurysm. She is now obtunded and responds only to painful stimuli. Her vital signs are stable and she is breathing spontaneously. She has a naso-gastric feeding tube in situ. The last feed was 6 h ago. She weighs 68 kg and is 5 ft 8 in. tall. The surgeon tells you that he wants the mean arterial pressure (MAP) to be 80 mmHg and that the surgery will be less than 1 h.
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References
Ng A, Smith G. Gastresophageal reflux and aspiration of gastric contents in anesthesia practice. Anesth Analg. 2001;93:494–513.
Brock-Utne JG. Gastresophageal reflux and aspiration of gastric contents in anesthesia practice. Anesth Analg. 2002;94:762.
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Brock-Utne, J.G. (2012). Case 15: A VP Shunt. In: Case Studies of Near Misses in Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1179-7_15
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DOI: https://doi.org/10.1007/978-1-4419-1179-7_15
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