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anesthesiology clinical management workup intraoperative cardiology cardiac ctchest echocardiogram atelectasis differential hyperthermia jvp kussmauls neck physicalexam psax pulmonary rounded roundedatelectasis
D-Sign on Ultrasound Right Ventricular Pressure vs Volume Overload Eccentricity Index (EI) = D2/D1 RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... echocardiogram #psax ... #diagnosis #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... #Checklist #Diagnosis
Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... several circular blue ... Kussmaul's sign ... as Friedreich’s sign ... #Kussmauls #Sign
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... agents, patent blue ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Diagnostic ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Intraoperative #Checklist
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
Discuss management plan ... interventional radiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Kussmaul's Sign and Friedreich's Sign on Neck Examination A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... the underlying cause ... #Kussmauls #Sign
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 High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... that may mimic signs ... Haemorrhage. ❼ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... other, more common causes ... see Box D). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
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