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diagnosis anesthesiology checklist intraoperative cardiac differential perioperative anaphylaxis arrest bloodloss bradycardia cardiacarrest cico cooling difficult evacuation evaluation hemorrhage hyperkalemia hyperthermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... anaphylaxis (→ 3-1) Drug ... #Differential #Causes ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
anticholinergic drug ... and positioning (e.g ... could have made a drug ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
immediately. ❼ Give drugs ... as patient is stable ... annotate notes/drug ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Inotropic drugs ... Plan definitive management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug ... causes (eg. remifentanil ... , digoxin etc) ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... neuromuscular blocking drug ... Anesthesiology #Anesthesia ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... reminders about drugs ... : Vagal tone Drug ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
equipment. ❽ Discuss management ... interventional radiology ... , coagulation, etc ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... • Consider drug ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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