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diagnosis anesthesia anesthesiology intraoperative differential cardiacarrest cardiology cico comparison criticalcare cyanosis difficult hyperkalemia hypotension hypoxia indications inotropes intubate intubation ischaemia
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
- ACLS (1st), Anaphylaxis ... common in OR; in MICU ... of shock, HOCM, etc ... Vasopressors #Inotropes #management ... summary #comparison #table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... , digoxin etc) ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... reabsorption) Workup ... heparinized tube) • ECG ... Elimination (see Table ... line, stabilizes cardiac
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... ENT, ICU). ❹ Call ... trolley and then cardiac ... Intraoperative #Checklist ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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