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diagnosis anesthesia anesthesiology workup intraoperative differential cardiology hypoxia pulmonary treatment airway cardiac cardiacarrest chf clinical cyanosis delivery devices ecmo embolism
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
pathology: • Anaphylaxis ... Extrinsic compression (e.g ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
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 ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
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