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diagnosis management anesthesia anesthesiology workup intraoperative cardiology table acidosis anaphylaxis arrest cardiacarrest cardiomyopathy cico classification cooling criticalcare cyanosis difficult elevation
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Differential # ... #Anesthesia #Checklist
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
in the CNS, on cardiac ... dopamine blockers (e.g ... dopamine agonists (e.g ... pharmacogenetic disease caused ... #Toxidromes #comparison
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Can be used in all ... Vasopressors #Inotropes #comparison
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... #Hypotension #Differential ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential # ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... pack. ❸ Remove all ... alternate vasopressor (e.g ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... perfusion - Cardiac ... failure - Low cardiac
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis: • Focused medical ... exam • 12-lead ECG ... Valvular disease (e.g ... Palpitations #Cardiology #Differential
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... • Avoid hyperthermia ... Guidelines for crises ... Intraoperative #Checklist
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 ... trolley and then cardiac ... Intraoperative #Checklist
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