V interesting study out of Brisbane, revising previous estimates that suggested sugammadex hypersensitivity could be as high as 1 in 2,500. Crimmins et al. found in their data the incidence was 5-20 times less common (95% CI). → https://t.co/YJkfZpIkxx
@NicholasChrimes@doctimcook@anaes_spr@BJAJournals Yes exactly. But work as done 2 person check is the reality. A 2 person check is 2 one person checks but in practice i don’t think that happens as often as it needs to be effective (in general).
@JoannaCoates1@Anaes_Journal@NAPs_RCoA@RCoANews@JerryPNolan @jas_soar @adk300 @IainMoppett @drrichstrong@emirakur@doctimcook In many cases suspending DNACPR just means you don’t do CPR based on clinical judgement, instead of based on DNACPR.
To me the function of DNACPR is to avoid a harmful intervention when someone who can make that decision isn’t standing right next to you with all the information
@andymoz78 Presumably the premise for the original thing is a far more widespread omission of induction which clearly sounds a bit odd. I’m just saying it’s not a never (but it is a hardly ever). Obvious eg. Diazepam overdose GCS 3
In its clinical practice guideline @Assoc_Anaes recommends that it is usually appropriate to suspend a DNACPR recommendation during the peri-op period.
In contrast, only one-third of DNACPR recommendations are formally suspended pre-op.
https://t.co/tj7NFKnsBN