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management anesthesia anesthesiology differential intraoperative causes active airway cardiacarrest cardiology cyanosis edema embolism embolus hyperthermia hypoxemia increased infectiousdiseases laryngospasm latent
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 ... #diagnosis #causes ... #pathophysiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
production • Actively ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Workup
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... • History of BCG ... immunocompromised (e.g ... used to exclude pulmonary ... #Workup #TB #Latent
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Framework NCPE Pathophysiology ... level <100 pg/ml EKG ... hemorrhage, seizure activity ... #differential #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Person Syndrome Pathophysiology ... on EMG - Absence ... of diazepam • EMG ... antibody that works ... TPO, TTG, etc EMG
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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 ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway, e.g ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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