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anesthesia anesthesiology intraoperative workup differential criticalcare airway cardiac anaphylaxis anatomy arrest autopeep bradycardia cardiacarrest cardiology cooling cyanosis embolism embolus emergencies
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Pleural Manometry Summary Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
of re-expansion pulmonary ... pleural pressure ... intermittently (e.g ... Pleural #Manometry #diagnosis ... #management #pulmonary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... arterial blood pressure ... #Diagnosis #Management
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance (e.g ... intrathoracic pressure ... airway resistance (e.g ... acute scenario (e.g ... #diagnosis #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway Pressure ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... desaturation, confusion ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
intrathoracic pressure ... and positioning (e.g ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
rhythm and blood pressure ... recheck blood pressure ... known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
rhythm and blood pressure ... recheck blood pressure ... obtain 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway, e.g ... Increased airway pressure ... pulmonary oedema ... Intraoperative #Checklist ... #Diagnosis #Management
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