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anesthesiology workup intraoperative perioperative algorithm cardiacarrest causes evaluation hyperthermia hypotension hypoxemia laryngospasm posterior preop preoperative pres pressure rapid reversible risk
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Extrinsic compression (e.g ... CNS depression (e.g ... wall compliance (e.g ... #Hypoxia #differential ... #Diagnosis #Management
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 ... encephalopathy ... #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... #Hypoxia #Cyanosis ... #Diagnosis #Workup ... #Management #Workup ... #anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... blood gas, 12-lead ECG ... #Differential # ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
, e.g. suction catheters ... guideline 2-3 Increased ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Increase fresh ... and positioning (e.g ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
oxygen delivery • Increase ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... #Differential # ... #Diagnosis #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible Encephalopathy ... Patterns in PRES: • Increased ... Reversible course Differential ... • EEG: With persistent ... #management #neurology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
delaying the surgery increase ... complications from anesthesia ... disease b) CHF ... indicated • EKG ... Obtain EKG if:
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