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diagnosis management anesthesiology checklist intraoperative differential cardiology treatment algorithm anaphylaxis cardiacarrest cyanosis evaluation hyperkalemia hypotension hypoxia ischaemia ischemia nephrology pain
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
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... patient’s underlying medical ... • Check ECG rhythm ... 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 ... (eg steroid dependency ... Anesthesiology #Anesthesia ... 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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Cortisol+ACTH stim ... only if no clear cause ... Elimination (see Table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Check serial lactates ... Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Diagnosis #Management #Workup
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... Diagnosis: • Focused medical ... exam • 12-lead ECG ... Valvular disease (e.g ... Flag Symptoms: • Chest
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