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Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Diagnostic Approach ... Hyponatremia Box ... Ethlene Glycole Box ... Seizures, Confusion Box ... #Hyponatremia #Diagnosis
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
suspected airway see Box ... bronchospasm (Box ... Consider alternate diagnoses ... bronchospasm (Box ... Intraoperative #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Box A: THROMBOEMBOLISM ... consult radiologist Box ... initial management Box ... plasmaphoresis Box ... Intraoperative #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
least 30 ml.kg-1 (Box ... A, Box B) ... least 20 ml.kg-1 (Box ... pressure ≥ 65 mmHg (Box ... Intraoperative #Checklist #Diagnosis
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
appropriate local plan (Box ... into theatre (Box ... essential equipment (Box ... Intraoperative #Checklist #Diagnosis
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
tracheal intubation (Box ... glycopyrrolate (Box ... or ephedrine (Box ... symptoms, including (Box ... Intraoperative #Checklist #Diagnosis
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Access – FoNA (see Box ... using technique in Box ... use technique in Box ... Intraoperative #Checklist #Diagnosis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
hypotension: use Box ... bradycardia: use Box ... underlying problem (Box ... transcutaneous pacing (Box ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
impending arrest: use Box ... underlying problems (Box ... rate control (Box ... cardioversion (Box ... Intraoperative #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
haemodynamic instability (Box ... ECG monitoring (Box ... trinitrate (GTN) (Box ... Intraoperative #Checklist #Diagnosis
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