SOE Format:

  • Please answer the following questions on the given topic
  • The case will be displayed with each question followed by an answer, allowing you to review your given response
  • A timer is available for use to determine the given time period

You are asked to review a 70-year-old man on the ICU. He is 2 days post-op following a liver resection. The surgery and anaesthesia were uncomplicated and he was noted to have grade 2b laryngoscopy at intubation. He is currently on CPAP with a PEEP of 5. There is an epidural in situ, which is running with 0.1% bupivacaine and fentanyl. The nurse is concerned as he is tachycardic (132 bpm) and hypotensive (88/50 mmHg) and tachycardic.