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diagnosis management anesthesiology workup intraoperative differential bradycardia cardiac treatment abcds abcs airway algorithm anaphylaxis arrest av avnrt basicplan basics bradyarrhythmia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
symmetry, rate, breath ... positioning (e.g ... non-sinus → 2-7 Tachycardia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
12-lead ECG machine ... CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (1) Sinus tachycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... electrocardiogram #cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... symmetry, rate, breath ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... undelivered • Treat ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
treat the cause ... symmetry, rate, breath ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
- Observe and ... Control rate (e.g ... underlying cause ... underlying cause ... Treatment #management #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
• Adult: at least ... • Child: at least ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... Give drugs to treat ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... symmetry, rate, breath ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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