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management diagnosis anesthesia checklist workup intraoperative neurology syndrome differential algorithm barre cardiology criticalcare guillain hematology hyperthermia acyclovir airway anaphylaxis anatomy
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... #Anesthesiology
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 ... thoracotomy is a better treatment ... Cardiac #Tamponade #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... pack. ❸ Remove all ... require prolonged treatment ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Restriction for all ... SIADH — look for cause ... hourly • Identify Cause ... give specific treatment ... Management #algorithm #treatment
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
serologic, and EMG ... More likely to cause ... characteristic EMG ... • All patients ... glucocorticoids - can cause
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... ❹ Call for MH treatment ... groin, axillae and anterior ... COMPLICATIONS AND OUTLINE TREATMENTS ... Hyperthermia #Crisis #Anesthesiology
Pituitary Mass Effects - Pathogenesis and Clinical Findings • Pituitary turnors are almost always a benign
adenomas that require treatment ... For pituitary masses ... of all sizes, it ... not always) the anterior ... Headaches • Nausea
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... last resort when all ... airway expertise e.g ... Guidelines for crises ... Intubation #Difficult #Anesthesiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... #Bradycardia #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... Guidelines for crises ... #Tachycardia #Anesthesiology
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