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diagnosis management differential anesthesiology workup intraoperative causes criticalcare lactate algorithm cardiacarrest classification curves elevation emergencies guyton hyperthermia lactic map orthopedics
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Allergic reaction / anaphylaxis ... • Serotonin syndrome ... Anticholinergic syndrome ... #Checklist #Diagnosis
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... low CO later), Anaphylaxis ... cytokine release syndrome ... , Medications (anesthesia
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Distributive: Sepsis, Anaphylaxis ... Abdominal compartment syndrome ... Treatment Goals ... ) UOP > 0.5 cc/kg ... criticalcare #algorithm #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
treatment pack ... require prolonged treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... toxicity (→ 3-10) Acidosis ... Anaphylaxis (→ ... CardiacArrest #Checklist ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... ->treatments include ... before beginning treatment ... - Compartment syndrome
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
Syndrome usually ... progresses to anaesthesia ... including DM • Treatment ... - Antibiotic (broad ... diagnosis #management #treatment
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Inflammatory Response Syndrome ... Septic Shock • ... recognition & treatment ... fluids (30 mL/kg ... 1st 3 hours) • Broad-spectrum
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