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Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
mainstay of initial management ... Box C: AMNIOTIC ... mainstay of initial management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
bronchospasm (Box ... Consider alternate diagnoses ... bronchospasm (Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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) ... Discuss ongoing management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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 ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... Access – FoNA (see Box ... use technique in Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
tracheal intubation (Box ... glycopyrrolate (Box ... or ephedrine (Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
hypotension: use Box ... bradycardia: use Box ... underlying problem (Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
impending arrest: use Box ... rate control (Box ... cardioversion (Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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 ... #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
equipment. ❽ Discuss management ... if necessary (Box ... tranexamic acid (Box ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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