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diagnosis management anesthesiology differential workup criticalcare intraoperative algorithm causes curves emergencies guyton hyperthermia lactate map orthopedics pathophysiology perioperative sepsis sirs
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 ... Toxins (CCB, BB, BRASH ... syndrome etc), ... low CO later), Anaphylaxis ... cytokine release syndrome
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
BRASH Syndrome ... blockade S - Shock ... Hyperkalemia Typical ECG ... Treatment: • ... Aggressive treatment
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
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... erythematous macular rash ... necrosis STSS Treatment ... #Syndrome #STSS ... #treatment #management
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
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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