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management anesthesiology diagnosis workup intraoperative differential arrest bradycardia cardiacarrest cardiology cooling criticalcare cyanosis hyperthermia hypokalemia hypotension hypoxia neuroprotection perioperative tachycardia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... (eg steroid dependency ... Intraoperative #Checklist
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... patients (including cardiac
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... myocardial infarction, hyperkalaemia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Management #Workup #anesthesia
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... management in critical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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