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diagnosis management anesthesia anesthesiology intraoperative differential cardiology echocardiogram algorithm cardiacarrest effusion pericardial acls adult aha2020 complex lifesupport a4c acidosis anaphylaxis
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... • Maintain the airway ... pericardiocentesis kit (eg ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... tamponade → 3-9 ... (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 ... Hypothermia Tamponade ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... POTENTIAL CAUSES ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by
Tamponade is paradoxical ... cycle (in lieu of ECG ... #Tamponade #PLAX ... Echocardiogram #POCUS ... #Clinical #Pericardial
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 Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... tamponade → 3-9 ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... alternate vasopressor (e.g ... • Plan for repeat ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... expertise e.g. ... trolley and then cardiac ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020 CPR Quality: • Push hard (at least 2
Adult ACLS - Cardiac ... recommendation (eg ... intra-arterial Reversible Causes ... pneumothorax, Tamponade ... , Thrombosis, (pulmonary
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