Safe Apnoea Time
airway management airwaylifeline airwayoptimisation patient safety safe apnoea time Feb 15, 2024
Improving your margin of safety! 🦺🫵
When a patient is given general anaesthetic drugs, they often become apnoeic and we must provide oxygen for them via one of the 3 lifelines. The time between stopping the patient breathing and arriving at the Green Zone is the “apnoea time”, and the more difficulty you have achieving oxygenation, the longer this apnoea time is! ✅
Safe apnoea time is the time it takes for the oxygen saturations to drop below 90% after the patient becomes apnoeic. 🫁
Safe apnoea time is influenced by
👉 Low O2 reservoir
🔺High BMI
🔺Pregnancy
🔺Inability to effectively preoxygenate
🔺Severe cardiorespiratory disease
👉High O2 demand
🔺High BMI
🔺Pregnancy
🔺High metabolic rate
🔺Critically ill
So, how do we increase safe apnoea time and make our patients safer?
Preoxygenation!! 🫁✅
Check out our Concept Series articles on Preoxygenation and Bag Mask Ventilation!
Build knowledge ✅
Improve safety ✅
Ref: https://vortexapproach.org/safeapnoeatime
Stay connected with news and updates!
Join our mailing list to receive the latest news and updates from our team.
Don't worry, your information will not be shared.
We hate SPAM. We will never sell your information, for any reason.
Unlock Exclusive Free Content
Join the mailing list. We give too much great content away for free, see what all the fuss is about.
Categories
All Categories abg acid base acidosis acorn adrenaline adrenaline dosing adrenaline in anaphylaxis advanced advancedhaemostats adverse reaction aed agents ahpra ahpra audit airway airway adjuncts airway assessment airway emergency airway filter airway management airway mass airway rescue airway trauma airwaylifeline airwayoptimisation algorithm allergy als als aftercare alsmedications amiodarone anaesthesia anaesthetic anaesthetic machine anaesthetics analgesia anaphylactoid anaphylaxis anaphylaxis aftercare anaphylaxis diagnosis anaphylaxis differential diagnosis anaphylaxis management anaphylaxis triggers anatomy antibiotics antiemetic anzaag anzcor apnoea arrest arterial blood gas arterial line arterial line complications arterial line errors arterial lines arterialcannulation arteriallines asa article asl aspiration aspiration risk assessing pain assessment awareness bag mask ventilation behaviours of concern beta blockers bis bispectral index blade bleed bleeding bleeding airway block blocks blood blood glucose blood pressure blood pressure monitoring blood products blood safety bluey boundaries breathing circuit bronchoscopy bronchospasm burns calcium cannula technique cannulation capnography cardiac arrest cardiac collapse cardiac output cardiac surgery cardiovascular causesofcardiacarrest cell saver central venous catheter centralvenouscatheter cerebral oximetry checklist checklists chlorhexidine cico circadian cycle circuit classification climate climate change clinicaldecisionmaking clinicalpractice closed loop communication co2 coagulation coagulopathy cognitive aid colonoscopy communication complications compression rates compressions contaminant coolinginmh core body temperature cpd cpr cricoid pressure cricothyrotomy crisis crisis resource management critical incident criticalbleeding cross matching cvc cvc complications dantrolene debriefing decisions defibrillation dental surgery depth of anaesthesia diabetes diagnostics difficult airway documentation drug errors drug safety drugs ecg education educator emergence delirium emergency emergency management emotional intelligence end tidal carbon dioxide endoscopy endotracheal tubes ent entropy environment epidural anaesthesia equipment ercp error ett exchange catheter exercise fasting feedback ffp fluid balance fluid resuscitation fluid therapy fona formal diagnosis fracture fixation principles fracture patterns frailty ga gas gas analysis gastroscopy general anaesthetic gloves glp-1 ra glp-1 receptor agonists glp-1ras haemodynamic haemoglobin haemorrhage haemostasis haemostatic haemostaticagents haemostats handle handover hazard health heart rate hemodynamics hereditarydisorder high flow high risk hot debrief human factors hypnosis hypoglycaemia hypotension hypothermia hypoxia icu immune response incomplete reversal induction infection infection control inotrope inotropes intravenous intravenous cannulation intubation invasive blood pressure monitoring invasive device invasivebloodpressuremonitoring iv induction ketamine laryngeal mask laryngectomy laryngoscope laryngospasm last leadership learning lifelines lma local anaesthetic long term venous access major surgery malignanthyperthermia mallampati mask ventilation massive transfusion massive transfusion protocol mast cells mean arterial pressure medications mh mhtesting mls monitoring movement muscle relaxants neck surgery nerve blocks nerve monitoring neuraxial neuromuscular blockade neuromuscular junction nmt non-invasive blood pressure non-shockable rhythms nurse burnout nurse education nurse wellbeing nurselife nursing nursingeducation nutrition obstetric obstetrics anaesthesia obstruction operatingroom opioid opioids orthopaedic biology orthopaedic nursing ot oxygen oxygenation ozempic pacu paediatric paediatric anaesthesia paediatric t piece paediatrics pain pain management passive patient safety patientbloodmanagement perianaesthesia nurse educator perioperative perioperative orthopaedics perioperativenurse perioperativenursing physiology pipeline platelets ponv positioning post op bleed post operative preoperative preoperative care preoxygenation preparedness primary survey professional development protocol psychological safety publications pulmonary radiation rapid sequence induction recognition recovery recovery issues recovery room emeregencies refractory anaphyalxis refractory hypotension regionalanaesthesia renal resilience resources respiratory resuscitation reversal rotem safe apnoea time safety scalpel scalpel technique scoutnurse scrub scout nursing scrubnurse sedation seldinger shared airway shock shockable rhythms signs of anaphylaxis simulation skin prick testing sleep spinal spinal anaesthetic sterile procedures stress reduction surgery surgical surgical considerations surgical safety checklist surgicalcare surgicalphysiology surgicalpractice surgicalsafety surgicaltechniques systemic tachycardia teaching styles team time-out teamwork techniques teg temperature testing therapies tonsillectomy topical topicalhaemostats tracheostomy training tranexamic acid transfusion transfusion reaction trauma treatment tryptase ultrasound ultrasoundprobes vascular surgery vasopressor ventilation vf videolaryngoscope volatileagents vortex approach vt waste wellbeing whole blood workshop