Vasovagal LP
I was perfoming an LP on a hispanic lady with her daughter in the room and there was a senior level resident as backup. She has a curvy spine and is obese and I miss it at first so I try to redirect to no avail. Instead I decide to switch positions and ask her to sit up.
At this point the senior level resident takes over. At the time he was about to reinsert the needle, she does a vasovagal and her daughter starts screaming. The lady is cold, passed out, with a BP around 84/56. We lie her down, start monitoring and fluids, and place the head of the bed down in trendelenberg.
A little later the attending got it exactly at the 7A bell before rounding with the new crew. He kept her in lateral decubitus.
At this point the senior level resident takes over. At the time he was about to reinsert the needle, she does a vasovagal and her daughter starts screaming. The lady is cold, passed out, with a BP around 84/56. We lie her down, start monitoring and fluids, and place the head of the bed down in trendelenberg.
A little later the attending got it exactly at the 7A bell before rounding with the new crew. He kept her in lateral decubitus.
posted by Henry NYC @ 3:19 PM
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