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anesthesiology diagnosis intraoperative management workup acidosis anaphylaxis bradycardia cardiac cardiacarrest cardiology causes classification cyanosis elevation evacuation hypotension hypoxia increased lactate
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 ... Intraoperative #Checklist
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 ... Intraoperative #Checklist
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 ... Intraoperative #Checklist
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 ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Confirm airway ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential # ... Intraoperative #Checklist
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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 ... noradrenaline infusion ... Intraoperative #Checklist
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 ... Intraoperative #Checklist ... Management #Workup #anesthesia
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
environmental hazard (e.g ... attendance. ❺ Airway ... intubation to improve airway ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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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