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diagnosis anesthesia checklist workup differential intraoperative algorithm aliem amiodarone bradycardia cardiacarrest cardiology encephalopathy fish histamine hyperthermia hypotension immune induced inflammatory
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Serotonin syndrome ... #Differential #Causes ... #Anesthesiology ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... adult, 10 ml.kg-1 paediatric ... Local anaesthetic toxicity ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
distress syndrome ... (e.g., chronic ... Exclude other causes ... Pulmonary #diagnosis #management ... #Toxicology
Histamine Fish Toxicity - Inadequate refrigeration increases enzyme from bacteria on fish Clinical • Skin flushing,
Histamine Fish Toxicity ... Oral burning, nausea ... eating fish Management ... Antihistamines (e.g ... #Toxicology #Diagnosis
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... Congenital long QT Syndrome ... 1 gm/hour • Pediatric ... /min • Pediatric ... 1b (lidocaine)- case
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... POTENTIAL CAUSES ... Local anaesthetic toxicity ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... local anaesthetic toxicity ... #Bradycardia #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... local anaesthetic toxicity ... #Tachycardia #Anesthesiology ... Checklist #Diagnosis #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Medication/Drug toxicity ... • EEG: With persistent ... the underlying cause ... with AEDs until cause ... #diagnosis #management
Toxic Alcohol Ingestion: Methanol Solvent found in cleaning and printing solutions, adhesives, stains, paint removers, antifreeze agent in
- Metabolite (eg ... toxicity, but does ... NOT cause osmolal ... #Diagnosis #Management ... #Toxicology #Methanol
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