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management anesthesia anesthesiology intraoperative causes algorithm criticalcare acidosis airway cardiacarrest classification crisis criteria cyanosis elevation embolism embolus erythrocytosis failure hematology
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Hypoxemia / Hypoxia ... CNS depression (e.g ... wall compliance (e.g ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... direction leads to hypoxemia ... intracardiac shunting (eg ... Respiratory #Failure #hypoxia ... Diagnosis #pulmonary
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm Elevated Hemoglobin: • Males: Hb > 16.5 g/dL/HCT ≥ 49% •
Diagnosis Algorithm ... Acquired Causes: • Hypoxia-driven ... : Cardiac/pulmonary ... altitude habitat • Hypoxia-independent ... Paraneoplastic (e.g
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... by excretion (e.g ... its metabolism (e.g ... patient with shock/hypoxemia ... hypoperfusion/ hypoxemia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... of unexpected hypoxia ... blood gas, 12-lead ECG ... AND ACTIONS • Hypoxia ... #Diagnosis #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... - Infectious workup ... Pyridostigmine - New diagnosis ... oral secretions (e.g
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... #Differential # ... #Diagnosis #Management ... #Workup
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