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diagnosis anesthesiology checklist intraoperative management workup acidosis bradycardia cardiacarrest cardiology causes classification cyanosis elevation hypotension hypoxia increased lactate lactic pressure
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
• Confirm airway ... rate, rhythm, perfusion ... obtain 12-lead ECG ... help; consider electrical ... amniotic (→ 3-5); anaphylaxis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... #Hypotension #Differential ... Anesthesiology #Anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
rate, rhythm, perfusion ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... #Pressure #Differential ... Anesthesiology #Anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
• Confirm airway ... rate, rhythm, perfusion ... known drug causes (eg ... remifentanil, digoxin etc ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest trolley, anaphylaxis ... • Maintain the airway ... alternate vasopressor (e.g ... #Anaphylaxis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Confirm airway ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist #Differential ... Anesthesiology #Anesthesia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Consider whether poor perfusion ... rate, rhythm, perfusion ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Management #Workup #anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... hypoxemia/Sepsis etc ... / hypoxemia -> focus ... Acidosis #Elevation #Differential
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