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diagnosis management intraoperative anesthesiology checklist cardiac differential preoperative treatment perioperative risk stratification airway anaphylaxis bleeding cardiacarrest cardiothoracic cell clinical criticalcare
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 ... rapidly complete the surgery ... Anesthesiology #Anesthesia
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: ... perioperative medical
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
something related to surgery ... the reason for surgery ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... consult vascular surgeon ... N2O • Tell surgeon ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Check serial lactates ... cultures if possible (eg ... abandon or limit surgery ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Oliguria • Altered Mental ... telemetry, 12-Lead EKG ... Stabilize and Survey ... 4) Workup 5) ... Cardiac surgery?
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... and positioning (e.g ... Endocrine cause (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
delivery • Pause surgery ... • Consider surgery ... blood gas, 12-lead ECG ... If laparoscopic surgery ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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