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anesthesiology checklist diagnosis intraoperative differential airway algorithm anaphylaxis arrest cardiacarrest cooling cyanosis difficult embolism epilepticus hyperthermia hypotension hypoxia increased intubate
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... #Intubation #Difficult ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... if necessary, secure ... measures: • Fluid bolus ... Plan definitive management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
give i.v fluid bolus ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... if necessary, secure ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
presume oesophageal intubation ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... oedema; bronchial intubation ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... exclude bronchial intubation ... o Circulatory embolism ... #Management #Workup ... #anesthesia
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