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diagnosis management anesthesiology checklist intraoperative preoperative differential risk stratification treatment anaphylaxis bleeding cardiac cardiacarrest catheter causes ebm evaluation fasting foley
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Medical history ... indicated • EKG ... Obtain EKG if: ... medical and surgical
Practice Guidelines for Preoperative Fasting Infographic by Dr. Jesse Burk-Rafel @jbrafel > 8 hours - Heavy foods (fried/fatty) and
hours - Light meal ... (e.g., toast + ... clear liquids (e.g ... Anesthesiology. 2017 ... Fasting #Guidelines #Anesthesia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Perioperative ... Diagnosis #Management #Workup
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 ... 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 ... senior on-call / dial ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
for Crises in Anaesthesia ... Check serial lactates ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
general surgery (e.g ... spinal or epidural) anesthesia ... Bleeding #Risk #Preoperative ... #Perioperative ... #Procedures #Table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
for Crises in Anaesthesia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Peak T, flat P, ST ... Cortisol+ACTH stim ... Elimination (see Table
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
temperature >40C), mental ... diagnostic procedures (eg ... , induction of anesthesia ... Management consists of preoperative ... • Preoperative
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