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diagnosis management anesthesia anesthesiology intraoperative cardiology differential echocardiogram tamponade complex pericardial a4c acidosis anaphylaxis arrest bradycardia cardiacarrest classification cooling criticalcare
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
diuretics, Saline infusion ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... line, stabilizes cardiac
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... - Cardiac arrest ... failure - Low cardiac
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... management in critical ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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