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diagnosis differential management workup causes anesthesiology checklist intraoperative hyponatremia neurology hypokalemia potassium sodium alkalosis metabolic treatment epilepticus status chloride convulsive
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
or nasal high flow ... Access – FoNA (see Box ... using technique in Box ... use technique in Box ... Anesthesiology #Anesthesia
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Hyponatremia Box ... Ethlene Glycole Box ... Seizures, Confusion Box ... Primary Polydipsia, Low ... Hyponatremia #Diagnosis #Algorithm
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
impending arrest: use Box ... Check fresh gas flow ... rate control (Box ... cardioversion (Box ... Anesthesiology #Anesthesia
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Check fresh gas flow ... underlying problem (Box ... temporising drug (Box ... diagnostic – see Box ... Anesthesiology #Anesthesia
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
• Communicate how ... • Communicate how ... if necessary (Box ... tranexamic acid (Box ... Anesthesiology #Anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
hypotension: use Box ... bradycardia: use Box ... Check fresh gas flow ... underlying problem (Box ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Increase fresh gas flow ... giving vasopressor (Box ... surgical causes (Box ... Consider causes in Box ... Anesthesiology #Anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increase fresh gas flow ... (<3 breaths) (Box ... breathing system (Box ... and APL valve (Box ... Anesthesiology #Anesthesia
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
sequence can be slow ... tracheal intubation (Box ... glycopyrrolate (Box ... or ephedrine (Box ... Anesthesiology #Anesthesia
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
develops (see Box ... possible fresh gas flow ... dantrolene (see Box ... as indicated (Box ... Anesthesiology #Anesthesia
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