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anesthesia anesthesiology intraoperative workup toxicity anaesthetic block central criticalcare cyanosis detection differential esophageal evaluation high hypoxia increased induced intubation laryngospasm
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
organizing pneumonia, ARDS ... pneumonitis Diagnosis ... suggestive but not diagnostic ... pulmonary toxicity ... #diagnosis #management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
• Maintain the airway ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... cause of increased airway ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway ... sure that the airway ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
paralysis of the arms ... problem. ❸ Treat airway ... Consider supraglottic airway ... Intraoperative #Checklist ... #Diagnosis #Management
Esophageal Intubation • Capnography Detection - No trace, Wrong place • Prevention and Mitigation
Mitigation - Video ... Esophageal #Intubation #airway ... #detection #diagnosis ... #management #criticalcare ... #pulmonary
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 ... ACEi/ARBs - Hold ... medical and surgical management ... stratification #diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
• Confirm airway ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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