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diagnosis management anesthesiology checklist intraoperative workup differential treatment algorithm neurology cardiac nephrology aliem cardiology convulsive epilepticus hyperkalemia perioperative rheumatology status
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia ... or iatrogenic causes ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... should identify any cause ... surgery related cause ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... evaluating potential causes ... • Check ECG rhythm ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia ... Causes: thrombus ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... chlorhexidine as cause ... as a possible cause ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... in Anaesthesia ... airway expertise e.g ... Guidelines for crises ... Anesthesiology #Anesthesia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
in Anaesthesia ... likely underlying cause ... devices could have caused ... cultures if possible (eg ... Anesthesiology #Anesthesia
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