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management anesthesiology workup intraoperative differential cardiology clinical cardiac neurology algorithm fibrillation pocus syndrome ultrasound ventricular vfib achalasia airway anaphylaxis arrest
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
- Differential Diagnosis ... - Verify BP (e.g ... vaporizer) Initial treatment ... - Increase anesthetic ... — 0.1 - 3 mcg/kg
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 ... #Checklist #Diagnosis
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Differential Diagnosis ... Dysplasias • (e.g ... Panhypopituitarism Treatment ... • CNS Tumors (e.g ... endocrinology #causes
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... • Diagnostic ... thoracotomy is a better treatment ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis ... #checklist #neurology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
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