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diagnosis anesthesiology checklist intraoperative workup anaphylaxis bradycardia cardiac cardiacarrest cardiology causes classification elevation evaluation hypotension increased lactate lactic perioperative preop
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... Endocrine cause (eg ... #Hypotension #Differential ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
rate, rhythm, perfusion ... blood gas, 12-lead ECG ... #Pressure #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
rate, rhythm, perfusion ... known drug causes (eg ... remifentanil, digoxin etc ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... toxicity (→ 3-10) Acidosis ... CardiacArrest #Checklist #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... • Maintain the airway ... pericardiocentesis kit (eg ... Plan definitive management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... an adrenaline infusion ... alternate vasopressor (e.g ... an appropriate critical ... Checklist #Diagnosis #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... / hypoxemia -> focus
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... medical and surgical management
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