Anesthesia Wise Guys Spleen Rupture, Bleeding, Bowel Obstructions Oh My!!!!!
Aug 28, 2025
Get ready for a whirlwind of laughter and learning! The hosts dive into wild medical anecdotes, covering everything from catastrophic cases to quirky patient stories. Their humorous takes on serious topics, like aggressive resuscitation and unusual medical side effects, keep the tone light. They explore evolving perceptions around COVID-19 and share playful banter along the way. Expect insights on airway management and the critical role of teamwork in healthcare, all woven together with irreverent humor!
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Delayed Recognition Of Strangulated Bowel
- Maui recounts a 47-year-old nursing-home patient with strangulated internal hernia and massive bowel necrosis leading to short-gut syndrome.
- The patient survived extensive resection but required TPN and dialysis, illustrating catastrophic delays in care.
Saved From Spontaneous Splenic Rupture
- Shelly shares a splenic rupture case with extreme metabolic derangements that was saved by rapid coordinated damage-control surgery and resuscitation.
- Teamwork, aggressive transfusion, bicarbonate, insulin+D50 and hyperventilation normalized K and pH and the patient went home.
Anticipate Loss Of Tamponade
- When opening a distended abdomen, anticipate loss of tamponade and massive hemorrhage and plan damage-control maneuvers immediately.
- Prepare large-bore access, rapid transfusion, and surgical packing before full exploration.
