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diagnosis anesthesiology checklist intraoperative management differential cardiology airway anaphylaxis bradycardia cardiacarrest cyanosis electrocardiogram elevation hypotension hypoxia increased pain pressure segment
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory Embolus ... Causes: thrombus ... Consider thrombolysis e.g ... AMNIOTIC FLUID EMBOLISM ... #Embolism #VTE
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... • Pulmonary embolism ... : • EKG • Bedside
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Breathing • Check chest ... obtain 12-lead ECG ... ); circulatory embolus ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Breathing • Check chest ... blood gas, 12-lead ECG ... , chest X-ray. ... o Circulatory embolus ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... POTENTIAL CAUSES ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... Give adrenaline bolus ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... Checklist #Diagnosis #Workup ... #Management #Workup ... #anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Diagnosis #Management #Workup
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... complex Pulmonary Embolism ... block; and sinus tachycardia ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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