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diagnosis management anesthesiology checklist intraoperative workup causes hypoxemia pulmonary acidosis cardiacarrest classification cyanosis elevation evaluation hypertension increased lactate lactic perioperative
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
- Differential Diagnosis ... Algorithm Ventilation ... perfusion Mismatch • Airway ... Defect ** • Atrial ... #Hypoxia #Differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Response Management Algorithm ... Stridor - Upper airway ... Movement - Lower airway ... e.g., GBS, MG, ALS ... #Hypoxia #differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... cause of increased airway ... • Confirm airway ... be replaced or its ... #Pressure #Differential
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
oxygen delivery, airway ... bellows moving. ❸ Airway ... Check position of airway ... • Confirm airway ... • Feel the airway
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
the problem. ❷ Airway ... Check position of airway ... • Confirm airway ... be replaced or its ... • Feel the airway
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
ventilation. ❸ Airway ... Check position of airway ... • Confirm airway ... • Evaluate the airway ... 4 H’s, 4 T’s: Hypoxia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... of a difficult airway ... - Oral cavity/Airway ... event, follow ACC algorithm ... CARP, DECREASE V trials
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... urine, sweat) - its ... regional ischemia, surgery ... ’s • Reduced Arterial ... Acidosis #Elevation #Differential
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