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anesthesiology checklist intraoperative anaphylaxis cardiac anaesthetic block differential embolism embolus high hyperthermia ischaemia ischemia local manifestations neuraxial organsystems perioperative signs
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... Consider other causes ... that may mimic signs ... 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
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Also consider: central ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... examination and vital signs ... Anesthesiology #Anesthesia ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... Signs of severe ... • Maintain the airway ... Intraoperative #Checklist #Diagnosis ... #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
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Respiratory - Lower airway ... arrest - Upper airway ... consciousness General ... cessation of play #Diagnosis ... #Allergy #Signs
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 Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... possible • If central ... Anesthesiology #Anesthesia ... #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
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