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anesthesia anesthesiology checklist intraoperative differential treatment cardiac criticalcare foamed pharmacology ascites block cardiology chf clinical crystalloids embolism embolus heartfailure hepatology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... dullness, puddle sign ... Jcortesizaguirr #Ascites #workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Diagnostic ... examination and vital signs ... Plan definitive management ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... that may mimic signs ... anaesthesia #High #Central ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... CM5 continuous ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Signs: hypotension ... possible • If central ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... Also consider: central ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... bradycardia → sine wave ... only if no clear cause ... Ca-gluconate or 1g CaCl- (central
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
both work together ... exchange for H+, K+ leaves ... causes Hyperkalemia ... #criticalcare #management ... #diagnosis #treatment
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