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diagnosis management anesthesiology checklist intraoperative differential cardiology treatment airway algorithm allergy cardiacarrest cyanosis evaluation hyperkalemia hypotension hypoxia increased ischaemia ischemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... , PT. aPTT • Serial
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Breathing • Check chest ... Consider known drug causes ... (eg. remifentanil ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... , chest X-ray. ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... wheezing or cough, chest ... hypotension - Late: bradycardia ... inversion and ST ... leads, cyanosis, cardiac
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 Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... #Management #Workup
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