38 CL06 Emergency management of an unconscious pregnant women with intracranial haemorrhage: when the husband enters the OR W. Schellekens1 1Haute Ecole Léonard de Vinci, Spécialisations en Soins Périopératoires, Bruxelles, Belgium The clinical case presented will relate to the story of a night in the operating room during which two life-threatening emergencies presented themselves simultaneously, including a pregnant woman presenting an intracranial haemorrhage with cerebral herniation. Aspects of clinical leadership and the arrival of the patient’s husband in the operating room will be discussed. CL07 Always remember latex Z. Gal1, R. Sneh1 1Hadassah medical Center, Jerusalem, Israel We report a case that illustrates importance of considering latent latex allergy as a possible cause of hemodynamic instability. A 76 years old active female patient was admitted to the hospital with a femoral neck fracture. Her medical history included hypertension and hypercholesterolemia. She had no known allergies. An urgent surgery for fracture fixation was planned and the patient was taken to the operating theater. After induction of general anaesthesia, a Foley catheter was placed into the urinary bladder. Few minutes later the patient developed sudden hemodynamic instability. This included tachycardia, hypotension and shortness of breath. The anaesthesiologist decided to cancel the procedure and started preparations for inotropic treatment and CPR if necessary. At this stage, the reason for patient condition was unclear, as she did not report any allergies. However, one of the nursing staff suspected latex allergy and proposed to exchange the catheter from latex to silicon. The catheter was changed and indeed, in few minutes the vital signs improved. The patient rapidly recovered and shortly, after a reassessment, it was decided that the procedure can be carried out. The surgery passed uneventfully and the patient had no intraoperative or postoperative complications. She was discharged three days later to a rehabilitation facility. 10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 Clinical Case Studies
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