50s male, elective craniotomy and clipping cerebral aneurysm.

Background

• Cardiac arrest on induction
  • PEA (nil further info provided)
  • Resolved with adrenaline, episode of VT post adrenaline
  • Experienced neuro anaesthetist
  • Patient anxious ++ since (on background 

Issues:

• ? Cause
• Tryptases normal
• Allergy IDT all normal to all agents
• Cardiac: Normal Troponin, TTE, stress TTE, small QT prolongation, Holter pending

Discussion:

• ? unrecognized drug error

Plan:

• Present at cardiology meeting to exclude 
• Could check TFTs – update – normal
• Nil suggestions with change in management for subsequent anaesthetic
• Notify procedural anaesthetist