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diagnosis management workup intraoperative differential causes acidosis airway arrest bradycardia cardiacarrest cardiology classification cooling cyanosis elevation embolism embolus hyperthermia hypotension
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... Intracranial blood • Hypoxic ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... Hypothermia Tamponade ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology
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 ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... tamponade → 3-9 ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... alternate vasopressor (e.g ... #Anesthesiology ... #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... tamponade → 3-9 ... #Anesthesiology ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... #Checklist #Diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... #Arrest #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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