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diagnosis management anesthesiology workup intraoperative neurology cardiology amyotrophic anaphylaxis barre cardiac cardiacarrest gravis guillain guillainbarre hyperthermia hypotension ischaemia ischemia lateral
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesia #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... • Also consider ... , raised intra-cranial ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... • Also consider ... (eg steroid dependency ... #Hypotension #Differential ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
senior on-call / dial ... • As soon as ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential #
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... /Afib/WPW) • Loss
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... • Also consider ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... complete paralysis of all ... hyponatremia, bradycardia ... Electrodiagnostic studies - EMG ... Treatment: • Plasmapheresis
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
life-threatening Differential ... - Brain stem/Cranial ... Generalized fatigue - ALS ... Serologic and EMG ... Myasthenia Crises
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