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management diagnosis anesthesiology checklist intraoperative cardiology differential airway anaphylaxis bradycardia cardiomyopathy chf clinical criticalcare cyanosis embolus foamed heartfailure hyperkalemia hypoxia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Stable #NarrowComplex ... #Tachycardia #Treatment
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... ); circulatory embolus ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
If circulation unstable ... blood gas, 12-lead ECG ... o Circulatory embolus ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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) ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
If circulation unstable ... blood gas, 12-lead ECG ... o Circulatory embolism ... #Management #Workup ... #anesthesia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
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