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management anesthesia anesthesiology intraoperative workup crisis a4c anaesthetic anaphylaxis block cardiology central contusion criticalcare ctchest echocardiogram evaluation hyperthermia local lung
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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 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
High Central Neuraxial ... hypnosis as soon as clinical ... that may mimic signs ... Intraoperative #Checklist ... #Diagnosis #Management
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Pyridostigmine - New diagnosis ... unless extremely high ... monitoring (vital signs ... , clinical appearance
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
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
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... - Oral cavity/Airway ... Change in clinical ... - Cataract Plan ... stratification #diagnosis
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
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... monitored for airway ... wall following high
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