Anesthetic emergency management protocol

Anaesthetic Safety

KEIT DAY HOSPITAL

Anesthetic emergency management protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

Applicable to the operating room, post-anesthesia recovery area and procedural areas where general anesthesia, sedation or locoregional anesthesia is administered.

3. Responsibilities

• Anesthesiologist: clinical leadership of the emergency.
• Operating room and recovery team: immediate support, preparation of medications and equipment, and documentation.

4. Operating Procedure

• Recognize the critical event at an early stage and formally declare the emergency.
• Activate the support team and assign clear roles for monitoring, medication administration, ventilation, vascular access and documentation.
• Follow the specific algorithm for anaphylaxis, laryngospasm, bronchospasm, severe hypotension, arrhythmias, cardiac arrest, aspiration, local anesthetic systemic toxicity, massive hemorrhage or any other identified emergency.
• Simultaneously ensure adequate oxygenation, ventilation, hemodynamic stability and venous access.
• Prepare for possible transfer to a higher level of care without interrupting patient stabilization.
• Document the timeline of the event, medications administered, clinical response and final outcome.

5. KEIT Operational Standards

• Anesthetic emergencies are supported by a dedicated emergency cart, advanced difficult-airway devices and the availability of life-saving medications.
• Every critical event is discussed during an internal debriefing session.

6. Records and Documentation

• Critical incident report.
• Emergency medication register.
• Debriefing record.

7. Review and Updates

Periodic updates through simulation exercises and review of internal algorithms.

8. Related Attachments and Forms

• Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
• Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.

9. Final Approval