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diagnosis management anesthesiology checklist intraoperative workup differential rheumatology cardiology embolism hypoxia neurology pulmonary signs symptoms syndrome acutepe anaphylaxis arrest autoimmune
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
specificity for EKG ... EKG is helpful in ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... 12-lead ECG machine ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
positioning (e.g ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... (eg steroid dependency ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... • Call for cardiac ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... surgery. ❷ Call for cardiac ... pressure < 50 mmHg or cardiac ... alternate vasopressor (e.g
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... ACTION • Declare “cardiac ... • Call for cardiac ... • Check ECG rhythm ... Anesthesiology #Anesthesia
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... then cardiac arrest ... Guidelines for crises ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
stagnant hypoxia (e.g ... low cardiac output ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pathophysiology
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