Question

During squint surgery, anesthesiologist sees the machine and see the bp suddenly drops to 40. What will be best immediate management ?

• A. Give atropine
• B. Increase level of anesthesia
• C. Ask the surgeon to stop the surgery
• D. Give adrenaline

Answer 1

The Correct Option is D

In the scenario of squint surgery, a sudden drop in blood pressure (BP) to 40 might indicate a significant procedural complication or an anesthetic reaction. This requires immediate response to prevent further deterioration of the patient's condition.

Upon encountering such a situation, consider the following options:

Options	Evaluation
Give atropine	Atropine is typically used to manage bradycardia. While atropine can help counteract vagal stimulation, it is not the most effective for immediate management of severe hypotension.
Increase level of anesthesia	Increasing anesthesia may further depress cardiovascular function, worsening hypotension.
Ask the surgeon to stop the surgery	Stopping the surgery might be necessary to reassess the patient, but it does not immediately address the low BP issue.
Give adrenaline	Adrenaline (epinephrine) is a potent vasopressor that increases heart rate and vascular tone, thereby quickly improving blood pressure. It is the most appropriate immediate management for severe hypotension.

Considering these evaluations, the best immediate management option is to give adrenaline to rapidly stabilize the patient's blood pressure, which is critical in the context of severe hypotension during surgery.