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diagnosis management anesthesia anesthesiology workup intraoperative differential cardiac aliem airway anaphylaxis arrest bradycardia cardiacarrest cardiology clinical cooling cva cyanosis difficult
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Can’t Oxygenate (CICO ... Guidelines for Crises ... done. ❸ Declare CICO ... airway expertise e.g ... Intraoperative #Checklist
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 #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... potential surgical causes ... team. ❼ Consider causes ... (eg steroid dependency ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... or iatrogenic causes ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist
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 ... POTENTIAL CAUSES ... Consider potential causes ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... POTENTIAL CAUSES ... CardiacArrest #Checklist ... Intraoperative #Checklist
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 ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... chlorhexidine as cause ... as a possible cause ... alternate vasopressor (e.g ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Evaluate underlying cause ... Cardioembolic: • ECG ... Ruled out other causes ... workup #diagnosis #checklist
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