28 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... of poor organ perfusion ... Ameliorate increased work ... oxygenation; remove work ... #Shock #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
bradycardia, conduction blocks ... anaesthetic (remember infusion ... Anaesthetic #Toxicity #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Shock #Diagnosis #Management
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 ... Differential #Causes #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Central Neuraxial Block ... fluid by rapid infusion ... #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... rate, rhythm, perfusion ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
over 2 h (>65 kg ... mainstay of initial management ... mainstay of initial management ... Embolism #VTE #Anesthesiology ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
. ❼ Use rapid infusion ... equipment. ❽ Discuss management ... BloodLoss #Hemorrhage #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup