18 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... #Management #Workup
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 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... disease b) CHF ... indicated • EKG ... Obtain EKG if: ... stratification #diagnosis