2021 FSA Posters

P007: WHAT TO DO WHEN THE LIGHTS GO OUT, ANESTHESIA IN POWER FAILURE
Devin Shenkman, DO; Daniel Perez, MD; Jackson Memorial Hospital

A 46 year old male with multiple comorbidities and history of esophageal cancer was brought back to the OR emergently by ENT, for massive arterial bleeding into the neck, on POD3 status post resection of oral cavity cancer with creation of a pectoralis major pedicled flap. Patient was intubated using rapid sequence induction and direct laryngoscopy while manual pressure was applied by the surgical team in an attempt to control rapid exsanguination. Surgery proceeded without complication for approximately one hour before an abrupt loss of power caused complete surgical instrument failure, ENT was using a surgical microscope and had to halt operation for approximately 30 minutes while power was restored. The anesthesia machine automatically switched to battery operation and the anesthesia provider switched to manual ventilation to conserve battery life. This case report looks at the various anesthetic safety considerations for the provision of anesthesia in the event of power failure during emergent surgery.