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anesthesia anesthesiology intraoperative management cardiac anaesthetic anaphylaxis block bloodloss cardiology central constrictive cooling crisis hemorrhage high hyperthermia local malignant neuraxial
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... to workup right-heart ... circumferential pericardial effusion ... expiration not meeting diagnostic ... #a4c #pocus #clinical
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Call for cardiac arrest ... tamponade recurs. ❿ Plan ... Intraoperative #Checklist ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
anaesthetic (remember infusion ... inform immediate clinical ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... develop (Box B). ❾ Plan ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
problem and note the ... an appropriate clinical ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
Obtain a chest X-ray ... as soon as clinically ... safe to do so. ⓮ Plan ... Intraoperative #Checklist ... #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... hypnosis as soon as clinical ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
dantrolene and cardiac arrest ... Box D). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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