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anesthesiology checklist intraoperative anaphylaxis cardiac differential anaesthetic central high hyperthermia hypotension ischaemia ischemia local manifestations neuraxial organsystems perioperative signs symptoms
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... Consider other causes ... that may mimic signs ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... hypovolaemia or combined causes ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... transfusion • Allergic ... hyperthermia crisis (late sign ... #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Signs of severe ... bradycardia, conduction blocks ... • Maintain the airway ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Maintain the airway ... trigger agents (allergy ... Anesthesiology #Anesthesia ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Maintain the airway ... • Diagnostic ... examination and vital signs ... Plan definitive management ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Respiratory - Lower airway ... arrest - Upper airway ... bradycardia, shock, T-wave ... cessation of play #Diagnosis ... #Allergy #Signs
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