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diagnosis management anesthesia intraoperative rheumatology druginduced anaphylaxis cardiacarrest cico comparison crisis differential difficult dil embolism embolus erythematosus hyperthermia intubate intubation
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
NPSLE rare, Malar rash ... • Immunologic Workup ... Discontinuation of causal ... Manifestations: Malar rash ... • Immunologic Workup
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Systemic Lupus Erythematosus ... Manifestations: Malar rash ... • Immunologic Workup ... Positive in 60-80% of cases ... life-threatening • Treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
thoracotomy is a better treatment ... PERICARDIOCENTESIS (sub-xiphoid approach ... #Tamponade #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• See Boxes B ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... dantrolene and cardiac ... Hyperthermia #Crisis #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... • Petechial rash ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Drug Induced Lupus (DIL) • Epidemiology: -10% of all lupus cases, drug-dependent, 4:1 to 1:1 F:M
cases, drug-dependent ... NPSLE rare, Malar rash ... is rare in DIL, SCLE-DIL ... • Immunologic Workup ... Discontinuation of causal
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... hypovolaemia; primary cardiac ... #Tachycardia #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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