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diagnosis management workup anesthesiology intraoperative differential criticalcare acidosis anaphylaxis bradycardia cardiology classification curves cyanosis elevation guyton hypotension hypoxia lactate lactic
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... , Medications (anesthesia ... • HYPOVOLEMIC: Hemorrhage
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... #Cardiac #Tamponade ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... #criticalcare #treatment
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... tamponade → 3-9 ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... rate, rhythm, perfusion ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
hypoxemia/Sepsis etc ... - shock->treatments ... before beginning treatment ... - Cardiac arrest ... failure - Low cardiac
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... tamponade → 3-9 ... Intraoperative #Checklist
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