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anesthesia anesthesiology checklist intraoperative cardiology algorithm shock treatment anaesthetic anaphylaxis arrest block bradycardia central clinica clinical cooling differential dissociation echocardiogram
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Hypotension - Rapid ... 1) Ask for vitals ... Obstructive 4) Diagnosis ... and Workup 5) ... #Management #criticalcare
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... the patient is hypotensive ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... Cardiac surgery? ... #criticalcare #
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... (Box A): • Hypotension ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
in sequence – hypotension ... relieve aorto-caval ... • Hypotension ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... mainstay of initial management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... Consider monitoring cardiac ... Discuss ongoing management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
alternatively a reflex to hypotension ... complex AND not hypotensive ... hypovolaemia; primary cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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