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management anesthesia checklist workup differential intraoperative allergy pulmonary symptoms algorithm cardiacarrest criteria cyanosis hyperthermia hypoxemia increased manifestations organsystems perioperative physicalexam
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Management Algorithm Stridor ... - Upper airway ... pathology: • Anaphylaxis ... Subglottic stenosis • Epiglottitis ... #Diagnosis #Management
Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
Diagnosis Framework ... abscess • Acute epiglottitis ... : • Epiglottitis ... #causes #pulmonary ... #airway #physicalexam
Clinical manifestations of anaphylaxis. Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache Angioedema: Lips, tongue, orbit,
syndrome Lungs and airway ... oropharyngeal edema, stridor ... arrest GI (>40%): Nausea ... #signs #symptoms ... #diagnosis #criteria
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... Laryngospasm and stridor ... Bronchospasm → 3-4 o Anaphylaxis ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
POTENTIAL CAUSES ... Laryngospasm and stridor ... Bronchospasm → 3-4 o Anaphylaxis ... #Cyanosis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... arrest - Upper airway ... changes in voice; stridor ... cessation of play #Diagnosis ... #Allergy #Signs
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 Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
intubation. ❼ If anaphylaxis ... Consider alternate diagnoses ... consider → 2-2 Hypoxia ... anaesthesia #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Intracranial blood • Hypoxic ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... • Maintain the airway ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
POTENTIAL CAUSES ... 4 H’s, 4 T’s: Hypoxia ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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