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anesthesia anesthesiology intraoperative management workup allergy signs symptoms a4c anaesthetic block cardiology central crisis criteria echocardiogram high hyperthermia local malignant
Clinical manifestations of anaphylaxis. Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache Angioedema: Lips, tongue, orbit,
Clinical manifestations ... , hypotension, cardiac ... syndrome Lungs and airway ... #signs #symptoms ... #diagnosis #criteria
Air gap sign: loss of cardiac image during systole in Pneumopericardium Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical ... echocardiogram #a4c #plax ... #pocus #airgap ... #sign
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 Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... leads, cyanosis, cardiac ... , cessation of play ... #Diagnosis #Allergy ... #Signs #Symptoms
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Maintain the airway ... • Plan for repeat ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
intubation. ❼ If anaphylaxis ... Other drugs at clinician ... safe to do so. ⓮ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Maintain the airway ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... hypnosis as soon as clinical ... that may mimic signs ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... inform immediate clinical ... problem. ❸ Call for cardiac ... • Maintain the airway ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... dantrolene and cardiac ... see Box D). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
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