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management anesthesiology workup intraoperative differential cardiac neurology syndrome airway anaphylaxis arrest barre bradycardia cardiacarrest cardiology cico cooling cyanosis difficult embolism
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #differential #diagnosis ... #causes #pathophysiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Intracranial blood • Hypoxic ... #Checklist #Diagnosis
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
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 ... , tachycardia, hypoxemia ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist ... 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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Intraoperative #Checklist ... #Diagnosis #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Anesthesiology #Anesthesia ... 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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